Healthcare Provider Details

I. General information

NPI: 1467378463
Provider Name (Legal Business Name): ANDRES SANCHEZ NADALES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 SOUTH GLOSTER STREET
TUPELO MS
38801
US

IV. Provider business mailing address

1000S MICHIGAN AVE. APT 3506
CHICAGO IL
60605
US

V. Phone/Fax

Practice location:
  • Phone: 662-377-6652
  • Fax:
Mailing address:
  • Phone: 224-258-7866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: