Provider Demographics
NPI:1013693225
Name:SARMA, HIMAGIRI K (JD)
Entity Type:Individual
Prefix:
First Name:HIMAGIRI
Middle Name:K
Last Name:SARMA
Suffix:
Gender:F
Credentials:JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 N WELLS ST APT 707
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-1970
Mailing Address - Country:US
Mailing Address - Phone:872-529-5919
Mailing Address - Fax:
Practice Address - Street 1:1309 N WELLS ST APT 707
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-1970
Practice Address - Country:US
Practice Address - Phone:872-529-5919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist