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Individual

DR. SOUZAN SANATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8700 BEVERLY BLVD # SB290, WEST HOLLYWOOD, CA 90048-1804
(310) 248-6240
(310) 439-1906
Mailing address
660 S EUCLID AVE, C B 8118, SAINT LOUIS, MO 63110-1010
(314) 362-5641
(314) 362-0369

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
2007001641
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2007001641
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C137975
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207402207
MO
05
ENROLLED
IL
Enumeration date
02/12/2007
Last updated
08/26/2019
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