Provider Demographics
NPI:1598342578
Name:GRANT, SARA (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:GRANT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1030 W MICHIGAN ST STE C4600
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5201
Mailing Address - Country:US
Mailing Address - Phone:734-272-2261
Mailing Address - Fax:
Practice Address - Street 1:705 RILEY HOSPITAL DR # RI5837
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5109
Practice Address - Country:US
Practice Address - Phone:734-272-2261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01093632A2080N0001X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine