Provider Demographics
NPI:1194736538
Name:NAWAZ, SARA A (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:A
Last Name:NAWAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 DELTA AVENUE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45226-1221
Mailing Address - Country:US
Mailing Address - Phone:513-321-9902
Mailing Address - Fax:513-533-8851
Practice Address - Street 1:820 DELTA AVENUE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45226-1221
Practice Address - Country:US
Practice Address - Phone:513-321-9902
Practice Address - Fax:513-533-8851
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH663362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F83646Medicare UPIN
OH0764741Medicare ID - Type Unspecified