MEDICARE: DR. SARITA MARADANI 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
1	207V00000X	Obstetrics & Gynecology Physician	L4558	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871582338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARITA MARADANI MD

Provider Business Mailing Address
First Line	:	4207 JAMES CASEY ST STE 315
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1193
Country	:	US
Telephone Number	:	512-443-6100
Fax Number	:	512-443-6101

Provider Business Practice Location Address
First Line	:	4207 JAMES CASEY ST STE 315
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1193
Country	:	US
Telephone Number	:	512-443-6100
Fax Number	:	512-443-6101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	03/25/2020

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