Individual
SARA NOORZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 N RITTER AVE STE 510, INDIANAPOLIS, IN 46219-3025
(317) 355-7375
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020335
NY
363A00000X
Physician Assistant
Primary
10001994A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q00310990
RAILROAD MEDICARE
IN
Enumeration date
09/21/2015
Last updated
10/07/2022
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