Individual
SINA S HAZNECI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 FULTON ST, PORT CLINTON, OH 43452-2001
(419) 734-3131
Mailing address
PO BOX 21610, COLUMBUS, OH 43221-0610
(800) 923-7963
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-05-6761-H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0766149
—
OH
Enumeration date
08/22/2006
Last updated
01/17/2008
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