Provider Demographics
NPI:1942654330
Name:QAYUM, SARAH (MD)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:
Last Name:QAYUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1151 BARATARIA BLVD STE 3100
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3083
Mailing Address - Country:US
Mailing Address - Phone:504-349-6400
Mailing Address - Fax:504-371-3811
Practice Address - Street 1:3225 DANNY PARK STE 100
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5751
Practice Address - Country:US
Practice Address - Phone:504-349-6400
Practice Address - Fax:504-371-3811
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA320748207K00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology