Provider Demographics
NPI:1609915529
Name:SARIN, MONISHA (MD)
Entity Type:Individual
Prefix:
First Name:MONISHA
Middle Name:
Last Name:SARIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 SOUTHBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1323
Mailing Address - Country:US
Mailing Address - Phone:508-832-0173
Mailing Address - Fax:508-832-6479
Practice Address - Street 1:26 QUEEN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-2473
Practice Address - Country:US
Practice Address - Phone:508-860-7700
Practice Address - Fax:508-860-7990
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216635207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0031593OtherNEIGHBORHOOD HEALTH
MA50889OtherCHILDRENS MED. SECURITY
MAAA3544OtherHARVARD PILGRIM HEALTH
MA1300709Medicaid
MA0105220OtherEVERCARE
MA97260401OtherNETWORK HEALTH
MA59562OtherFALLON SELECT
MA2361317OtherUNITED
MAJ27100OtherBLUE CROSS BLUE SHIELD
MA0031593OtherNEIGHBORHOOD HEALTH
MA2361317OtherUNITED
MAH99723Medicare Oscar/Certification