Individual
SHENTHOL SASANKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MSC 11 6093 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-6225
Mailing address
MSC 11 6093 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD461489
PA
207RH0003X
Hematology & Oncology Physician
13516A
WY
207RH0003X
Hematology & Oncology Physician
MED-PHYS-LIC-89561
MT
207RH0003X
Hematology & Oncology Physician
PT17306
ND
207RH0003X
Hematology & Oncology Physician
Primary
RS2018-0402
NM
390200000X
Student in an Organized Health Care Education/Training Program
MT205909
PA
Other
Enumeration date
07/21/2014
Last updated
02/07/2022
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