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NPI Code Detail

MEDICARE: CHRISTOPHER D SANDS PA-C

MEDICARE: CHRISTOPHER D SANDS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA00301RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508872615
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER D SANDS PA-C
Provider Business Mailing Address
First Line : 725 RESERVOIR AVE STE 103
Second Line :
City : CRANSTON
State : RI
Zip : 02910-4451
Country : US
Telephone Number : 401-829-4446
Fax Number : 401-829-4434
Provider Business Practice Location Address
First Line : 725 RESERVOIR AVE STE 103
Second Line :
City : CRANSTON
State : RI
Zip : 02910-4451
Country : US
Telephone Number : 401-829-4446
Fax Number : 401-829-4434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 09/25/2023

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Directions to “ CHRISTOPHER D SANDS PA-C” Practice Location

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