Provider Demographics
NPI:1710065800
Name:SAUER, VIRGINIA A (MD)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:A
Last Name:SAUER
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:UNIVERSITY HEALTH SERVICES 2222 BANCROFT WAY
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94720-3429
Mailing Address - Country:US
Mailing Address - Phone:510-642-3188
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY HEALTH SERVICES 2222 BANCROFT WAY
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-3429
Practice Address - Country:US
Practice Address - Phone:510-642-3188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42247207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G422470Medicaid
F17964Medicare UPIN
CA00G422470Medicaid