MEDICARE: DR. SARA JURADO MD

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
1	207N00000X	Dermatology Physician	MD445372	PA
2	207ND0101X	MOHS-Micrographic Surgery Physician	01076313A	IN
3	207ND0101X	MOHS-Micrographic Surgery Physician	MD445372	PA
4	207NS0135X	Procedural Dermatology Physician	MD445372	PA
5	207N00000X	Dermatology Physician	01076313A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	002713263	OTHER	PA	HIGHMARK

General Provider Information

NPI Number	:	1891960993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA JURADO MD

Provider Business Mailing Address
First Line	:	3801 BELLEMEADE AVE STE 120
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-0111
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 BELLEMEADE AVE STE 120
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-0111
Country	:	US
Telephone Number	:	812-485-4200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	07/06/2022

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Directions to “ DR. SARA JURADO MD” Practice Location

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