Healthcare Provider Details

I. General information

NPI: 1710937024
Provider Name (Legal Business Name): ALOK K. SARDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2216 W ALTO RD
KOKOMO IN
46902-4840
US

IV. Provider business mailing address

PO BOX 6504
KOKOMO IN
46904-6504
US

V. Phone/Fax

Practice location:
  • Phone: 765-453-9338
  • Fax: 765-455-2710
Mailing address:
  • Phone: 765-453-9338
  • Fax: 765-455-2710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number01035202A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: