Healthcare Provider Details

I. General information

NPI: 1346244746
Provider Name (Legal Business Name): WILLIAM S. SARNAT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 07/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 E DOUGLAS RD STE 208
MISHAWAKA IN
46545-1464
US

IV. Provider business mailing address

PO BOX 6309
SOUTH BEND IN
46660-6309
US

V. Phone/Fax

Practice location:
  • Phone: 574-232-5928
  • Fax: 574-232-4888
Mailing address:
  • Phone: 574-335-8600
  • Fax: 574-335-0760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number01027609
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: