Provider Demographics
NPI:1588402523
Name:SARDA, BHAGYASHREE
Entity type:Individual
Prefix:
First Name:BHAGYASHREE
Middle Name:
Last Name:SARDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BHAVI
Other - Middle Name:
Other - Last Name:SARDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3796 CONIFER DR
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-3614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3796 CONIFER DR
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-3614
Practice Address - Country:US
Practice Address - Phone:317-941-5842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program