Provider Demographics
NPI:1508264896
Name:AZHAR, SANA H (MD)
Entity Type:Individual
Prefix:MRS
First Name:SANA
Middle Name:H
Last Name:AZHAR
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 1:137 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2390
Mailing Address - Country:US
Mailing Address - Phone:908-852-1887
Mailing Address - Fax:908-852-0614
Practice Address - Street 1:137 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2390
Practice Address - Country:US
Practice Address - Phone:908-852-1887
Practice Address - Fax:908-852-0614
Is Sole Proprietor?:No
Enumeration Date:2014-12-18
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09745200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine