Carmen Sandridge in Philadelphia - Internal Medicine

Carmen Sandridge - NPI 1174611727

Carmen Sandridge is a Internal Medicine in Philadelphia, Pennsylvania. Carmen Sandridge practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Carmen Sandridge is 1174611727. The last update date is 2022-02-11.

Carmen Sandridge's current location address is 5401 Old York Rd Ste 331, Philadelphia, Pennsylvania. You can contact this provider via phone number 2154568220 and fax number 2154565820. The mailing address for Carmen Sandridge is 5401 Old York Rd Ste 331, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Carmen Sandridge
Address 5401 Old York Rd Ste 331, Philadelphia, Pennsylvania
Phone Number 2154568220
Fax Number 2154565820
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1174611727
Provider Enumeration Date 2006-10-10
Last Updated Date 2022-02-11

Provider Mailing Address Detail

Address 5401 Old York Rd Ste 331
City Philadelphia
State Pennsylvania (PA)
Post Code 191413045
Phone Number 2154568220
Fax Number 2154565820

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No OS012640
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7298896 PA AETNA
1378633 PA AETNA

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FAQs about Carmen Sandridge

What is the unique provider identifier assigned to Carmen Sandridge?

The Carmen Sandridge has been issued the NPI (National Provider Identifier) 1174611727 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Carmen Sandridge's facilities are situated?

The facilities of Carmen Sandridge are physically located at the following address: 5401 Old York Rd Ste 331, Philadelphia, PA, 191413045.

What is the Carmen Sandridge's specialty and taxonomy code?

The Carmen Sandridge's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1174611727 to Carmen Sandridge?

The Carmen Sandridge received its 1174611727 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.

When was the information regarding Carmen Sandridge most recently updated?

The details pertaining to the Carmen Sandridge, including its address, specialty, and other relevant information, were last refreshed on 2022-02-11.

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