Provider Demographics
NPI:1104230333
Name:NICHOLAS, SARAH E (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:NICHOLAS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:BANNER MD ANDERSON CANCER CENTER
Mailing Address - Street 2:2946 E. BANNER GATEWAY DRIVE
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234
Mailing Address - Country:US
Mailing Address - Phone:480-256-6444
Mailing Address - Fax:480-256-3682
Practice Address - Street 1:BANNER MD ANDERSON CANCER CENTER
Practice Address - Street 2:2946 E. BANNER GATEWAY DRIVE
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234
Practice Address - Country:US
Practice Address - Phone:480-256-6444
Practice Address - Fax:480-256-3682
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2019-09-26
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Provider Licenses
StateLicense IDTaxonomies
AZ584582085R0001X
MDP301012085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology