Individual
DR. SANTOSH S HANMOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1432 S DOBSON RD STE 107, MESA, AZ 85202-4769
(480) 412-4100
(480) 412-5154
Mailing address
1432 S DOBSON RD STE 107, MESA, AZ 85202-4769
(480) 412-4100
(480) 412-5154
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
35.124283
OH
2080P0207X
Pediatric Hematology & Oncology Physician
4301092201
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
53250
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730337478
—
MI
Enumeration date
09/06/2008
Last updated
10/16/2020
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