Healthcare Provider Details

I. General information

NPI: 1669457784
Provider Name (Legal Business Name): STEVEN F SANDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 09/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC - ATTN: CECILIA
CANTON OH
44710-1702
US

IV. Provider business mailing address

PO BOX 26035 RADIOLOGY ASSOCIATES OF CANTON, INC
AKRON OH
44319-6035
US

V. Phone/Fax

Practice location:
  • Phone: 330-363-2842
  • Fax: 330-580-5536
Mailing address:
  • Phone: 330-493-0840
  • Fax: 330-493-7123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number35 059255
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35 059255
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: