Individual
DR. SARA I. DIAZ VALENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1050 REID PKWY STE 325, UROLOGICAL CARE, RICHMOND, IN 47374-1161
(765) 962-8551
(765) 962-2591
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 962-8551
(765) 962-2591
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01062306A
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
01062306A
IN
207VG0400X
Gynecology Physician
43070
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001005930
ANTHEM
IN
05
—
0164408
—
OH
05
—
200961220
—
IN
Enumeration date
07/10/2007
Last updated
05/13/2021
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