Healthcare Provider Details
I. General information
NPI: 1457672313
Provider Name (Legal Business Name): CATHERINE DONNELLAN SANDERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/15/2010
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
51 N DUNLAP ST
MEMPHIS TN
38105-4625
US
IV. Provider business mailing address
51 N DUNLAP ST
MEMPHIS TN
38105-4625
US
V. Phone/Fax
- Phone: 901-287-7337
- Fax: 901-287-6337
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0214X |
| Taxonomy | Pediatric Pulmonology Physician |
| License Number | V1253 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0214X |
| Taxonomy | Pediatric Pulmonology Physician |
| License Number | 54057 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: