Hazra, Sandra V

Hazra, Sandra V is an individual health care provider with primary practice located at 5133 Ridge Rd Ste 5 Seidman Cancer Ctr, Wadsworth OH 44281-8078. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Hazra, Sandra V can be contacted via phone (440) 844-3951.

Contact Information

Primary practice address
5133 Ridge Rd Ste 5 Seidman Cancer Ctr Wadsworth OH 44281-8078
Phone: (440) 844-3951
Fax: (440) 722-8396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD175021 Oregon
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35044095 Ohio

Profile Details

NPI number 1215972195
LBN Legal business name Hazra, Sandra V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Oct 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215972195 NPPES
Ohio MEDICAID 0423581
Ohio Other 341660197A
Ohio Other 000000134345

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