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Individual

SOPHY ANN JANCICH

Active
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Individual

SOPHY ANN JANCICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
023710
LA
207RX0202X
Medical Oncology Physician
Primary
MD.023710
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01061634A
MEDICAL LICENSE #
IN
05
04286541
MS
05
1484571
LA
01
35577
MEDICAL LICENSE #
AZ
01
MD00046564
MEDICAL LICENSE #
WA
Enumeration date
06/13/2006
Last updated
07/21/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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