Provider Demographics
NPI:1366016503
Name:ERLIKH, SARAH O (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:O
Last Name:ERLIKH
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 1:1224 PROSPECT ST APT 222
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-1986
Mailing Address - Country:US
Mailing Address - Phone:484-336-3989
Mailing Address - Fax:
Practice Address - Street 1:355 W 16TH STREET
Practice Address - Street 2:GOODMAN HALL, SUITE 4300
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1960
Practice Address - Country:US
Practice Address - Phone:484-336-3989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-13
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT222713207R00000X
IN01087914A390200000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program