Provider Demographics
NPI:1336754449
Name:EHMANN, SARAH THERESA CHARLOTTE (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:THERESA CHARLOTTE
Last Name:EHMANN
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 1:27188 SUN CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586-5505
Mailing Address - Country:US
Mailing Address - Phone:951-523-8111
Mailing Address - Fax:
Practice Address - Street 1:1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTER
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:828-810-5760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60106434-01207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology