Provider Demographics
NPI:1770673444
Name:IREGUI, SARAH MAE C (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MAE C
Last Name:IREGUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH MAE
Other - Middle Name:D
Other - Last Name:CIMAFRANCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1717 S J ST STE 336
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4933
Mailing Address - Country:US
Mailing Address - Phone:534-266-3412
Mailing Address - Fax:253-426-6344
Practice Address - Street 1:1717 S J ST STE 336
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4933
Practice Address - Country:US
Practice Address - Phone:534-266-3412
Practice Address - Fax:253-426-6344
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00047138207RI0200X, 208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0222759OtherSTATE L&I
WA1018686Medicaid