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Individual

VANESSA SARDA

Active
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Individual

VANESSA SARDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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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