Individual
SARAH ANTALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
253 SAGAMORE PKWY W, W LAFAYETTE, IN 47906-1501
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01069600A
IN
207Q00000X
Family Medicine Physician
01069600A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000719631
ANTHEM PROVIDER NUMBER
IN
01
—
000001016017
ANTHEM PIN - URGENT CARE UNDER TIN 35-2030653
IN
01
—
00A0261717
HMSA BILLING NUMBER
HI
05
—
201028020
—
IN
05
—
588907-11
—
HI
Enumeration date
06/28/2006
Last updated
11/18/2020
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