Provider Demographics
NPI:1386715753
Name:SANKOVIC, DANNY E (MD)
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:E
Last Name:SANKOVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 E STATE STREET
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460
Mailing Address - Country:US
Mailing Address - Phone:330-337-6000
Mailing Address - Fax:330-337-1272
Practice Address - Street 1:1515 E STATE STREET
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460
Practice Address - Country:US
Practice Address - Phone:330-337-6000
Practice Address - Fax:330-337-1272
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067501208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0990923Medicaid
OH0770092Medicare ID - Type Unspecified