Provider Demographics
NPI:1306873369
Name:D'HEILLY, SARAH J (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:J
Last Name:D'HEILLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-7623
Practice Address - Street 1:2635 UNIVERSITY AVE W STE 160
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114
Practice Address - Country:US
Practice Address - Phone:651-254-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN41158207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN04-06872OtherMEDICA CHOICE
MNHP29719OtherHEALTHPARTNERS
MN164228OtherUCARE
WI32602200Medicaid
MN04-00023OtherMEDICA PRIMARY
IA0582254Medicaid
MN2045884OtherARAZ
MN799405200Medicaid
MT0078098Medicaid
MN1024943OtherPREFERRED ONE
MN630R2DHOtherBCBS
MNHP29719OtherHEALTHPARTNERS
MN04-06872OtherMEDICA CHOICE