Healthcare Provider Details

I. General information

NPI: 1255461943
Provider Name (Legal Business Name): KAREN STEPHANIE STERLING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3042 S COUNTY ROAD 475 E
PLAINFIELD IN
46168-8353
US

IV. Provider business mailing address

3042 S COUNTY ROAD 475 E
PLAINFIELD IN
46168-8353
US

V. Phone/Fax

Practice location:
  • Phone: 317-839-2376
  • Fax:
Mailing address:
  • Phone: 317-839-2376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01061508A
License Number StateIN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: