Provider Demographics
NPI:1902016132
Name:SARALE, DELIA CRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:CRISTINA
Last Name:SARALE
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 1:1553 N PORTER AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6621
Mailing Address - Country:US
Mailing Address - Phone:405-217-8500
Mailing Address - Fax:405-217-8501
Practice Address - Street 1:1553 N PORTER AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6621
Practice Address - Country:US
Practice Address - Phone:405-217-8500
Practice Address - Fax:405-217-8501
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12246207SG0201X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Not Answered2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK10082527OCMedicaid
F46952Medicare UPIN