Provider Demographics
NPI:1447437363
Name:SAZANI, THOMAS ANTHONY (MD MBA)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ANTHONY
Last Name:SAZANI
Suffix:
Gender:M
Credentials:MD MBA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:149 S 1ST ST
Mailing Address - Street 2:STE C
Mailing Address - City:ORCUTT
Mailing Address - State:CA
Mailing Address - Zip Code:93455-5260
Mailing Address - Country:US
Mailing Address - Phone:805-938-3151
Mailing Address - Fax:805-938-3157
Practice Address - Street 1:149 S 1ST ST
Practice Address - Street 2:STE C
Practice Address - City:ORCUTT
Practice Address - State:CA
Practice Address - Zip Code:93455-5260
Practice Address - Country:US
Practice Address - Phone:805-938-3151
Practice Address - Fax:805-938-3157
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA42368207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine