Provider Demographics
NPI:1598551392
Name:BEN YOUSSEF GHANMI, SANA (SOLE PROPRIETOR)
Entity type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:BEN YOUSSEF GHANMI
Suffix:
Gender:
Credentials:SOLE PROPRIETOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4018 SAVAGE STATION CIR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6129
Mailing Address - Country:US
Mailing Address - Phone:727-557-9445
Mailing Address - Fax:
Practice Address - Street 1:4018 SAVAGE STATION CIR
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6129
Practice Address - Country:US
Practice Address - Phone:727-557-9445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor