Healthcare Provider Details

I. General information

NPI: 1497688857
Provider Name (Legal Business Name): DR. SARAH ELITZUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 DANNY THOMAS PL
MEMPHIS TN
38105-3678
US

IV. Provider business mailing address

5726 HERALD SQ
MEMPHIS TN
38120-2528
US

V. Phone/Fax

Practice location:
  • Phone: 901-595-2388
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number75685
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: