Individual
SARA M TAKACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1130 W MICHIGAN ST, FESLER HALL, SUITE 318, INDIANAPOLIS, IN 46202-5209
(317) 274-8282
Mailing address
1130 W MICHIGAN ST, FESLER HALL, SUITE 318, INDIANAPOLIS, IN 46202-5209
(317) 274-8282
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01083509A
IN
2084N0600X
Clinical Neurophysiology Physician
01083509A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201369660
—
IN
01
—
262210059
MEDICARE PTAN
IN
01
—
Q00163585
MEDICARE PTAN
IN
Enumeration date
05/25/2016
Last updated
03/12/2025
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