Provider Demographics
NPI:1598877474
Name:PARTHASARATHY, SAIRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:SAIRAM
Middle Name:
Last Name:PARTHASARATHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 N CAMPBELL AVE
Mailing Address - Street 2:PO BOX 245030A
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-5030
Mailing Address - Country:US
Mailing Address - Phone:520-971-6808
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF ARIZONA MEDICAL CTR
Practice Address - Street 2:1501 N CAMPBELL AVE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:520-971-6808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036090520207RP1001X
AZ37443207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ270753Medicaid
AZG98627Medicare UPIN
AZ270753Medicaid