Provider Demographics
NPI:1013642792
Name:IMRAN, SANA
Entity Type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:IMRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E 1ST ST N APT 317
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-4910
Mailing Address - Country:US
Mailing Address - Phone:517-930-5547
Mailing Address - Fax:
Practice Address - Street 1:KU SCHOOL OF MEDICINE WICHITA.
Practice Address - Street 2:1010 N. KANSAS
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214
Practice Address - Country:US
Practice Address - Phone:316-293-2699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-10908207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine