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Organization
SANA KASUMOVIC PLLC
Active
Organization
SANA KASUMOVIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA KASUMOVIC DMSC, MPAS (PA-C)
(208) 850-5111
Entity
Organization
Contact information
Practice address
2716 SYRINGA LN, CALDWELL, ID 83605-3052
(208) 850-5111
Mailing address
2716 SYRINGA LN, CALDWELL, ID 83605-3052
(208) 477-1223
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/27/2026
Last updated
09/01/2026
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