MEDICARE: DR. MUDDASSIR SANA 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
1	207L00000X	Anesthesiology Physician	MD.205323	LA
2	207L00000X	Anesthesiology Physician	P5886	TX
3	208VP0000X	Pain Medicine Physician	205323	LA

General Provider Information

NPI Number	:	1609023944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUDDASSIR SANA M.D

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-743-2345
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	2647 S SAINT ELIZABETH BLVD STE 220
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737-5020
Country	:	US
Telephone Number	:	225-743-2345
Fax Number	:	225-743-2543

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

Provider Enumeration Date	:	08/19/2008
Last Update Date	:	06/27/2022

Similar Medicare Providers

1326048562 — DR. AMY LYNETTE KISNER MD
Practice Location Address:

2647 S SAINT ELIZABETH BLVD STE 308
GONZALES, LA
70737-5020

Practice Phone: 225-765-5500
Practice Fax: 225-765-9419

1104822774 — ROBERT P. ST. AMANT M.D.
Practice Location Address:

2647 S SAINT ELIZABETH BLVD STE 311
GONZALES, LA
70737-5020

Practice Phone: 225-743-2833
Practice Fax: 225-743-2074

1376522425 — MS. KELLY LINER DUKE P.A.
Practice Location Address:

2647 S SAINT ELIZABETH BLVD STE 125
GONZALES, LA
70737-5020

Practice Phone: 225-647-9675
Practice Fax: 225-766-2226

1629003793 — CHRIS G HAIK NP
Practice Location Address:

2647 S SAINT ELIZABETH BLVD STE 125
GONZALES, LA
70737-5020

Practice Phone: 225-647-9675
Practice Fax: 225-647-9676

1376743427 — DR. MICHAEL SHANE BODIN MD
Practice Location Address:

2647 S SAINT ELIZABETH BLVD STE 219
GONZALES, LA
70737-5020

Practice Phone: 225-765-5500
Practice Fax: 225-743-2620

1316100381 — MR. DAVID HENRY SEPULVEDA PA-C
Practice Location Address:

2647 S SAINT ELIZABETH BLVD STE 219
GONZALES, LA
70737-5020

Practice Phone: 225-647-8511
Practice Fax:

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

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.