Provider Demographics
NPI:1922026244
Name:SANDERS, HANNA O (MD)
Entity Type:Individual
Prefix:DR
First Name:HANNA
Middle Name:O
Last Name:SANDERS
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 1:1087 E PASEO EL MIRADOR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4852
Mailing Address - Country:US
Mailing Address - Phone:760-322-9834
Mailing Address - Fax:760-320-2834
Practice Address - Street 1:1100 N PALM CANYON DR
Practice Address - Street 2:SUITE 211
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4414
Practice Address - Country:US
Practice Address - Phone:760-320-9019
Practice Address - Fax:760-320-2834
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG38809208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG038809Medicare ID - Type Unspecified
CAA47607Medicare UPIN