Provider Demographics
NPI:1285685503
Name:GARMEL, SARA H (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:H
Last Name:GARMEL
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 1:2142 MONROE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3057
Mailing Address - Country:US
Mailing Address - Phone:313-481-1030
Mailing Address - Fax:313-481-1031
Practice Address - Street 1:2142 MONROE ST STE 100
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3057
Practice Address - Country:US
Practice Address - Phone:313-481-1030
Practice Address - Fax:313-481-1031
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISG071022207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4944620Medicaid
MISG071022OtherLICENSE
MI104944620Medicaid
MIF70638OtherUPIN
MI4252007OtherAETNA
MI160H229520OtherBCBSM
MI364509477OtherTAX ID