Healthcare Provider Details

I. General information

NPI: 1801384524
Provider Name (Legal Business Name): SARAH TULI PURI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2018
Last Update Date: 05/13/2025
Certification Date: 03/15/2021
Deactivation Date: 03/15/2021
Reactivation Date: 05/13/2025

III. Provider practice location address

5310 N LA CHOLLA BLVD
TUCSON AZ
85741-3815
US

IV. Provider business mailing address

5310 N LA CHOLLA BLVD
TUCSON AZ
85741-3815
US

V. Phone/Fax

Practice location:
  • Phone: 520-229-8878
  • Fax: 520-229-9107
Mailing address:
  • Phone: 520-229-8878
  • Fax: 520-229-9107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number25649
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: