Individual
DR. SADRA AZIZI-GHANNAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 PRINGLE WAY STE 701, RENO, NV 89502-1472
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST, MS M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
283619
NY
207RG0100X
Gastroenterology Physician
01085009A
IN
207RG0100X
Gastroenterology Physician
283619
NY
207RG0100X
Gastroenterology Physician
Primary
29273
NV
207RG0100X
Gastroenterology Physician
87720
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04443367
—
NY
Enumeration date
04/10/2012
Last updated
05/01/2026
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