Provider Demographics
NPI:1801384524
Name:PURI, SARAH TULI (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:TULI
Last Name:PURI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 N LA CHOLLA BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-3815
Mailing Address - Country:US
Mailing Address - Phone:520-229-8878
Mailing Address - Fax:520-229-9107
Practice Address - Street 1:5310 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3815
Practice Address - Country:US
Practice Address - Phone:520-229-8878
Practice Address - Fax:520-229-9107
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-27
Last Update Date:2025-05-13
Deactivation Date:2021-03-15
Deactivation Code:
Reactivation Date:2025-05-13
Provider Licenses
StateLicense IDTaxonomies
AZ25649207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryGroup - Single Specialty