Provider Demographics
NPI:1023056660
Name:SARIN, SYLVIA SUSAN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:SUSAN
Last Name:SARIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:SYLVIA
Other - Middle Name:SUSAN
Other - Last Name:VARGHESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4226 ROSE THICKET LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-5566
Mailing Address - Country:US
Mailing Address - Phone:301-437-7787
Mailing Address - Fax:
Practice Address - Street 1:12011 LEE JACKSON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3310
Practice Address - Country:US
Practice Address - Phone:703-383-5443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0003261363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical