Provider Demographics
NPI:1811202948
Name:SANA, SAID S (DO)
Entity Type:Individual
Prefix:DR
First Name:SAID
Middle Name:S
Last Name:SANA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 TENEYCK ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-2461
Mailing Address - Country:US
Mailing Address - Phone:517-205-8940
Mailing Address - Fax:
Practice Address - Street 1:1111 TENEYCK ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-2461
Practice Address - Country:US
Practice Address - Phone:517-205-8940
Practice Address - Fax:989-839-6202
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101018723207YS0123X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery