MEDICARE: SUZANA S SARAC-LEONARD 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	207R00000X	Internal Medicine Physician	35068289	OH

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	:	1386675163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANA S SARAC-LEONARD MD

Provider Business Mailing Address
First Line	:	2723 ROCHESTER RD
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44122-2166
Country	:	US
Telephone Number	:	216-591-1444
Fax Number	:

Provider Business Practice Location Address
First Line	:	9318 STATE ROUTE 14
Second Line	:	3RD FLOOR
City	:	STREETSBORO
State	:	OH
Zip	:	44241-5224
Country	:	US
Telephone Number	:	330-422-0916
Fax Number	:	330-422-0919

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	12/31/2020

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Directions to “ SUZANA S SARAC-LEONARD MD” Practice Location

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