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NPI Code Detail

MEDICARE: DR. SANA ULLAH M.D.

MEDICARE: DR. SANA ULLAH M.D.
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
1207P00000XEmergency Medicine Physician36049114IL

General Provider Information

NPI Number : 1740253988
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANA ULLAH M.D.
Provider Business Mailing Address
First Line : 351 WINDSOR SPRING DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63122-7125
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 129 N 8TH ST
Second Line :
City : EAST ST LOUIS
State : IL
Zip : 62201-2917
Country : US
Telephone Number : 618-482-7178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SANA ULLAH M.D.” Practice Location

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