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NPI Code Detail

MEDICARE: SUMIKO S SARLE M.D.

MEDICARE: SUMIKO S SARLE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician35068711SOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050074986OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000000112397OTHEROHANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013980010
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMIKO S SARLE M.D.
Provider Business Mailing Address
First Line : PO BOX 640446
Second Line :
City : CINCINNATI
State : OH
Zip : 45264-0446
Country : US
Telephone Number : 937-293-0247
Fax Number : 937-293-0960
Provider Business Practice Location Address
First Line : 2222 PHILADELPHIA DR
Second Line :
City : DAYTON
State : OH
Zip : 45406-1891
Country : US
Telephone Number : 937-278-2612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 08/18/2008

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