Individual
VANESSA SARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2434 W DIVISION ST, CHICAGO, IL 60622-2942
(773) 486-8820
(773) 486-8823
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4881
(219) 934-2478
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-120446
IL
207RI0200X
Infectious Disease Physician
Primary
01066516A
IN
207RI0200X
Infectious Disease Physician
036-120446
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01066516A
IN LICENSE NUMBER
IN
05
—
200973440
—
IN
05
—
200973440B
—
IN
01
—
M47140082
MEDICARE PTAN
IN
Enumeration date
01/04/2008
Last updated
04/30/2021
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