Healthcare Provider Details

I. General information

NPI: 1609506450
Provider Name (Legal Business Name): SARAH SAU-AI KEUNG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2022
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 RESERVOIR RD NW
WASHINGTON DC
20007-2111
US

IV. Provider business mailing address

1215 FORT MYER DR APT 804
ARLINGTON VA
22209-3522
US

V. Phone/Fax

Practice location:
  • Phone: 202-687-9087
  • Fax:
Mailing address:
  • Phone: 714-515-2955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN.1001067-CRNA
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number95199485
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: