Healthcare Provider Details

I. General information

NPI: 1154306132
Provider Name (Legal Business Name): ROBERT F SARAMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 MEDICAL PARK DR STE 31
MONROE LA
71203
US

IV. Provider business mailing address

PO BOX 14824
MONROE LA
71207
US

V. Phone/Fax

Practice location:
  • Phone: 318-323-1362
  • Fax: 318-323-9875
Mailing address:
  • Phone: 318-323-1362
  • Fax: 318-323-9875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number05680R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: