Individual
SARA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-8880
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01085880A
IN
207P00000X
Emergency Medicine Physician
2012017697
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001564697
ANTHEM PTAN
IN
01
—
000001564713
ANTHEM PTAN
IN
05
—
300053807
—
IN
Enumeration date
06/22/2012
Last updated
03/14/2025
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