Provider Demographics
NPI:1386675163
Name:SARAC-LEONARD, SUZANA S (MD)
Entity Type:Individual
Prefix:
First Name:SUZANA
Middle Name:S
Last Name:SARAC-LEONARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2723 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2166
Mailing Address - Country:US
Mailing Address - Phone:216-591-1444
Mailing Address - Fax:
Practice Address - Street 1:9318 STATE ROUTE 14
Practice Address - Street 2:3RD FLOOR
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-5224
Practice Address - Country:US
Practice Address - Phone:330-422-0916
Practice Address - Fax:330-422-0919
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35068289207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0196309Medicaid
OHG11199Medicare UPIN