Basic Information
| Provider Information | |||||||||
| NPI: | 1134680390 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BADER | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | FATIMA AZAM | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13250 WASHINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | MOUNT PLEASANT | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531771516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2627998700 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 101 THE CITY DRIVE | ||||||||
| Address2: | CITY TOWER, SUITE 400 | ||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92868 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7144565691 | ||||||||
| FaxNumber: | 7144568874 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2019 | ||||||||
| LastUpdateDate: | 09/02/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 20A-20248 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 71189-21 | WI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.