Healthcare Provider Details

I. General information

NPI: 1487159455
Provider Name (Legal Business Name): SARAH OLVEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 MEDICAL DR STE 102
CARMEL IN
46032-3078
US

IV. Provider business mailing address

310 MEDICAL DR STE 102
CARMEL IN
46032-3078
US

V. Phone/Fax

Practice location:
  • Phone: 317-415-5960
  • Fax: 317-415-5965
Mailing address:
  • Phone: 317-415-5960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number02005794A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: