Provider Demographics
NPI:1700956406
Name:LAND, SARAH E (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:E
Last Name:LAND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:JANES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3314 E. 46TH ST.
Mailing Address - Street 2:STE 200
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135
Mailing Address - Country:US
Mailing Address - Phone:918-591-2510
Mailing Address - Fax:918-591-2511
Practice Address - Street 1:3314 E. 46TH ST.
Practice Address - Street 2:STE 200
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135
Practice Address - Country:US
Practice Address - Phone:918-591-2510
Practice Address - Fax:918-591-2511
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK42002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200060070AMedicaid
OK245536202Medicare PIN
2725Medicare UPIN