Healthcare Provider Details

I. General information

NPI: 1790747848
Provider Name (Legal Business Name): PAMELA A SANCHEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6938 ELM VALLEY DR
KALAMAZOO MI
49009-7447
US

IV. Provider business mailing address

6938 ELM VALLEY DR
KALAMAZOO MI
49009-7447
US

V. Phone/Fax

Practice location:
  • Phone: 269-552-4233
  • Fax: 269-552-4216
Mailing address:
  • Phone: 269-552-4233
  • Fax: 269-552-4216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301059556
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: