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Individual

DR. SARAH HAFSA GANGADHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10801 N MICHIGAN RD, ZIONSVILLE, IN 46077-8170
(317) 344-1234
Mailing address
10801 N MICHIGAN RD, ZIONSVILLE, IN 46077-8170

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01073723A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201099930
IN
01
PO1599186
RR MEDICARE
IN
Enumeration date
04/29/2011
Last updated
06/22/2022
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