Individual
DR. SANDRA V HAZRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5133 RIDGE RD STE 5, SEIDMAN CANCER CTR, WADSWORTH, OH 44281-8078
(440) 844-3951
(440) 722-8396
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(440) 844-3951
(440) 722-8396
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35044095
OH
207RH0003X
Hematology & Oncology Physician
MD175021
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000134345
ANTHEM BCBS
OH
05
—
0423581
—
OH
01
—
341660197A
SUMMACARE
—
Enumeration date
06/17/2006
Last updated
10/25/2021
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