Provider Demographics
NPI:1871563189
Name:HAINLINE, SARAH W (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:W
Last Name:HAINLINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1650 N COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1715
Mailing Address - Country:US
Mailing Address - Phone:317-924-6351
Mailing Address - Fax:317-927-3098
Practice Address - Street 1:1650 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1715
Practice Address - Country:US
Practice Address - Phone:317-924-6351
Practice Address - Fax:317-927-3098
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01037942207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100374180Medicaid
IN100374180Medicaid
IN113810PMedicare PIN