Healthcare Provider Details

I. General information

NPI: 1639337843
Provider Name (Legal Business Name): ANKIT SARIN M.D., M.H.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2008
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 STOCKTON BLVD FL 6
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

1825 4TH ST FL 4
SAN FRANCISCO CA
94143-2350
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-7192
  • Fax: 916-703-4452
Mailing address:
  • Phone: 415-885-3606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA114985
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberA114985
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: