Basic Information
Provider Information
NPI: 1841723798
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LADHANI
FirstName: SANAH
MiddleName:  
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Credential:  
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Mailing Information
Address1: PO BOX 845347
Address2:  
City: DALLAS
State: TX
PostalCode: 752847208
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 6201 HARRY HINES BLVD
Address2:  
City: DALLAS
State: TX
PostalCode: 753901018
CountryCode: US
TelephoneNumber: 2146335555
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/07/2017
LastUpdateDate: 05/31/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate: 05/31/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA161227CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XS9730TXN Allopathic & Osteopathic PhysiciansHospitalist 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RH0003XS9730TXY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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