=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861717316
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH KATHLEEN SANDERS MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2010
-----------------------------------------------------
Last Update Date | 12/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13861 OLIO RD
-----------------------------------------------------
City | FISHERS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46037-3487
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-338-7136
-----------------------------------------------------
Fax | 317-338-6539
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14077 QUARTER HORSE CT
-----------------------------------------------------
City | CARMEL
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46032-7091
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-370-3200
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 01073836A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------