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NPI Code Detail

MEDICARE: SARA E BENVENISTE MD

MEDICARE: SARA E BENVENISTE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD60027176WA

General Provider Information

NPI Number : 1346403623
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA E BENVENISTE MD
Provider Business Mailing Address
First Line : 1145 BROADWAY FL 2
Second Line :
City : SEATTLE
State : WA
Zip : 98122-4201
Country : US
Telephone Number : 206-860-5414
Fax Number : 206-720-8462
Provider Business Practice Location Address
First Line : 9709 3RD AVE NE FL 2
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2077
Country : US
Telephone Number : 206-525-5777
Fax Number : 206-528-9881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2008
Last Update Date : 10/08/2020

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Directions to “ SARA E BENVENISTE MD” Practice Location

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