Basic Information
| Provider Information | |||||||||
| NPI: | 1689769663 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAKALI | ||||||||
| FirstName: | PIERRE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1500 N WILMOT RD STE A110 | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857124416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203181860 | ||||||||
| FaxNumber: | 5203181859 | ||||||||
| Practice Location | |||||||||
| Address1: | 1500 N WILMOT RD STE A110 | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857124416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203181860 | ||||||||
| FaxNumber: | 5203181859 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 08/27/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207K00000X | 36748 | AZ | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology |
ID Information
| ID | Type | State | Issuer | Description | 224077 | 05 | AZ | MEDICAID |