Healthcare Provider Details

I. General information

NPI: 1780031393
Provider Name (Legal Business Name): SANDERS OH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2016
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNITED STATES NAVAL HOSPITAL OKINAWA BLDG 960 CAMP FOSTER
FPO AP
96362
US

IV. Provider business mailing address

PSC 482 BOX 3051
FPO AP
96362-0031
US

V. Phone/Fax

Practice location:
  • Phone: 98-971-9355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberM-2424
License Number StateGU
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101263434
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: