Provider Demographics
NPI:1710921861
Name:BAROODY, SARAH RAVEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:RAVEL
Last Name:BAROODY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:RAVEL
Other - Last Name:FINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:33 GERMANTOWN RD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5013
Mailing Address - Country:US
Mailing Address - Phone:203-790-8866
Mailing Address - Fax:203-830-2013
Practice Address - Street 1:33 GERMANTOWN RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5013
Practice Address - Country:US
Practice Address - Phone:203-790-8866
Practice Address - Fax:203-830-2013
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042474207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT180000993Medicare PIN
H88743Medicare UPIN