Individual
SANA WAIKHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2501 E HIGH ST, SPRINGFIELD, OH 45505-1410
(937) 328-8700
(937) 328-8719
Mailing address
2501 E HIGH ST, SPRINGFIELD, OH 45505-1410
(937) 328-8700
(937) 328-8719
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35037306
OH
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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