Basic Information
Provider Information
NPI: 1386030179
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROBINSON
FirstName: SARA
MiddleName: LOFTIN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: LOFTIN
OtherFirstName: SARA
OtherMiddleName: TERESA
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 8901 ROCKVILLE PIKE
Address2: BUILDING 7, 1ST FLOOR
City: BETHESDA
State: MD
PostalCode: 208890001
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 8901 ROCKVILLE PIKE
Address2: AMERICA BUILDING
City: BETHESDA
State: MD
PostalCode: 208890001
CountryCode: US
TelephoneNumber: 3012950196
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/08/2015
LastUpdateDate: 01/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0101261554VAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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