Provider Demographics
NPI:1114612736
Name:KOMANAPALLI, SARAH ANIKA (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANIKA
Last Name:KOMANAPALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 BARNHILL DRIVE
Mailing Address - Street 2:VAN NUYS MEDICAL SCIENCE BUILDING RM 116
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202
Mailing Address - Country:US
Mailing Address - Phone:317-274-8282
Mailing Address - Fax:
Practice Address - Street 1:635 BARNHILL DRIVE
Practice Address - Street 2:VAN NUYS MEDICAL SCIENCE BUILDING RM 116
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202
Practice Address - Country:US
Practice Address - Phone:317-274-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program