Basic Information
Provider Information
NPI: 1720428634
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOSEPH
FirstName: SARAH
MiddleName: NADIA
NamePrefix:  
NameSuffix:  
Credential: M.D, M.SC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 743144
Address2:  
City: ATLANTA
State: GA
PostalCode: 303743144
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 8900 N. KENDALL DR
Address2: MIAMI CANCER INSTITUTE
City: MIAMI
State: FL
PostalCode: 331762118
CountryCode: US
TelephoneNumber: 7865962000
FaxNumber: 3052797778
Other Information
ProviderEnumerationDate: 06/25/2013
LastUpdateDate: 12/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XME140007FLY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


Home