| Doctor Name: | SANDRA EUNICE RAMOS CASANOVA |
| NPI Number: | 1013381656 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 55567 |
| Business Practice Address: | 3636 Habersham Rd Nw Suite 1206 Atlanta, GA - 30305 |
| Business Phone Number: | 4042749897 |
| Business Fax Number: | |
| Mailing Address: | 3636 Habersham Rd Nw, Suite 1206 ATLANTA |
| State: | GA |
| Postal Code: | 30305 |
| Phone Number: | 4042749897 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2015 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 55567 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |