Provider Demographics
NPI:1245596444
Name:SARAN, HEATHER LINNEA (DO)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LINNEA
Last Name:SARAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14354 N FRANK LLOYD WRIGHT BLVD STE 18
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-8844
Mailing Address - Country:US
Mailing Address - Phone:480-725-6025
Mailing Address - Fax:480-573-1469
Practice Address - Street 1:14354 N FRANK LLOYD WRIGHT BLVD STE 18
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-8844
Practice Address - Country:US
Practice Address - Phone:480-725-6025
Practice Address - Fax:480-573-1469
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7279207RE0101X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ280381Medicaid