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NPI Code Detail

MEDICARE: SARA F AMARAL PA

MEDICARE: SARA F AMARAL PA
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
1363AM0700XMedical Physician Assistant1951MA
2363A00000XPhysician Assistant1951MA

General Provider Information

NPI Number : 1790749562
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA F AMARAL PA
Provider Business Mailing Address
First Line : 7752 W VERNOR HWY
Second Line :
City : DETROIT
State : MI
Zip : 48209-1516
Country : US
Telephone Number : 313-281-1362
Fax Number :
Provider Business Practice Location Address
First Line : 7752 W VERNOR HWY
Second Line :
City : DETROIT
State : MI
Zip : 48209-1516
Country : US
Telephone Number : 313-281-1362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 04/15/2021

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Directions to “ SARA F AMARAL PA” Practice Location

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