Healthcare Provider Details
I. General information
NPI: 1831170448
Provider Name (Legal Business Name): CHRISTOPHER W SANDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/10/2005
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1265 UNION AVE
MEMPHIS TN
38104-3415
US
IV. Provider business mailing address
1211 UNION AVE STE 330
MEMPHIS TN
38104-6655
US
V. Phone/Fax
- Phone: 901-516-1489
- Fax: 901-516-1487
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 27871 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 27871 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: