Healthcare Provider Details

I. General information

NPI: 1265650048
Provider Name (Legal Business Name): EVADNE SANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 01/25/2025
Certification Date: 01/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4007 EST. DIAMOND RUBY
CHRISTIANSLED VI
00820
US

IV. Provider business mailing address

PO BOX 8619
CHRISTIANSTED VI
00823-8619
US

V. Phone/Fax

Practice location:
  • Phone: 340-778-6311
  • Fax:
Mailing address:
  • Phone: 340-778-6311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number0101029185
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number1761
License Number StateVI
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1761
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: