Individual
SARA E MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 944-9981
(317) 944-0282
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01088684A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11019892A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102687149
ANTHEM PTAN
IN
05
—
300015706
—
IN
Enumeration date
06/04/2018
Last updated
12/04/2024
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