Provider Demographics
NPI:1497728182
Name:GRIFFIN, SARAH M (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:M
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:710 LAWRENCE EXPY
Mailing Address - Street 2:DEPT 186
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5173
Mailing Address - Country:US
Mailing Address - Phone:408-554-9810
Mailing Address - Fax:408-851-1154
Practice Address - Street 1:710 LAWRENCE EXPY
Practice Address - Street 2:DEPT 186
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5173
Practice Address - Country:US
Practice Address - Phone:408-554-9810
Practice Address - Fax:408-851-1154
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-11
Last Update Date:2022-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG74899208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOE71877Medicare UPIN