Provider Demographics
NPI:1407082373
Name:HORMAZD SANJANA M.D., P.A.
Entity Type:Organization
Organization Name:HORMAZD SANJANA M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:HORMAZD
Authorized Official - Middle Name:B
Authorized Official - Last Name:SANJANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-342-7300
Mailing Address - Street 1:2108 NW MILITARY HWY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1882
Mailing Address - Country:US
Mailing Address - Phone:210-342-7300
Mailing Address - Fax:210-342-7325
Practice Address - Street 1:2108 NW MILITARY HWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1882
Practice Address - Country:US
Practice Address - Phone:210-342-7300
Practice Address - Fax:210-342-7325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9887207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty