MEDICARE: SANA JEFFREYS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	7053	SD
2	207RH0003X	Hematology & Oncology Physician	4301075967	MI
3	207RH0003X	Hematology & Oncology Physician	43574-020	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518057512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANA JEFFREYS MD

Provider Business Mailing Address
First Line	:	3003 W GOOD HOPE RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-2042
Country	:	US
Telephone Number	:	414-352-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 SUGAR CAMP CIR STE 200
Second Line	:
City	:	OAKWOOD
State	:	OH
Zip	:	45409-1981
Country	:	US
Telephone Number	:	937-276-8320
Fax Number	:	937-276-8325

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	03/08/2022

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Directions to “ SANA JEFFREYS MD” Practice Location

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