Provider Demographics
NPI:1568847986
Name:MAZHER, SANA (MD)
Entity Type:Individual
Prefix:MISS
First Name:SANA
Middle Name:
Last Name:MAZHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1337 S CESAR E CHAVEZ DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-2712
Mailing Address - Country:US
Mailing Address - Phone:414-897-5511
Mailing Address - Fax:414-385-7552
Practice Address - Street 1:2906 S 20TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-3732
Practice Address - Country:US
Practice Address - Phone:414-672-1353
Practice Address - Fax:414-672-4265
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2018-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI69148207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1568847986Medicaid