Individual
DR. INNA OGANDZHANOVA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1281 E COTTONWOOD LN, CASA GRANDE, AZ 85222-2949
(520) 876-0150
(520) 421-3474
Mailing address
PO BOX 13064, CASA GRANDE, AZ 85230-3064
(520) 431-3547
(520) 876-9765
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
28680
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508533
—
AZ
Enumeration date
08/25/2005
Last updated
07/08/2007
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