Provider Demographics
NPI:1013163229
Name:SARSAM, SINAN HARITH N (MD)
Entity Type:Individual
Prefix:
First Name:SINAN
Middle Name:HARITH N
Last Name:SARSAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:28544 CLEARVIEW ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-8606
Mailing Address - Country:US
Mailing Address - Phone:951-587-0070
Mailing Address - Fax:949-655-7878
Practice Address - Street 1:27450 YNEZ RD STE 109
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4649
Practice Address - Country:US
Practice Address - Phone:951-587-0070
Practice Address - Fax:949-655-7878
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA118322207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology