Sailaja M Blackmon is a Obstetrics & Gynecology Physician based in Fort Wayne, IN. Sailaja M Blackmon practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Sailaja M Blackmon is 1316946718 and holds a License No. 01043883A (Indiana).
The current practice location address for Sailaja M Blackmon is 11123 Parkview Plaza Dr, Fort Wayne, IN and can be reached out via phone at 260-425-6650 and via fax at 260-425-6649.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000595613 | 01 | IN | ANTHEM |
| 3013241 | 01 | IN | OH MEDICAID |
| 000000511561 | 01 | IN | ANTHEM PROVIDER ID# - WHC |
| P00831360 | 01 | IN | RAILROAD MEDICARE |
| 200045490 | 05 | IN | |
| 200045490A | 05 | IN |
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