MEDICARE: DR. MATTHEW K SANGER MD

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
1	207R00000X	Internal Medicine Physician	MD.15620R	LA
2	207RN0300X	Nephrology Physician	MD.15620R	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1639119910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW K SANGER MD

Provider Business Mailing Address
First Line	:	2929 ARCH ST
Second Line	:	SUITE 620
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2857
Country	:	US
Telephone Number	:	215-382-3680
Fax Number	:	215-382-3683

Provider Business Practice Location Address
First Line	:	1 GALLERIA BLVD
Second Line	:	SUITE 110
City	:	METAIRIE
State	:	LA
Zip	:	70001-2082
Country	:	US
Telephone Number	:	504-708-4400
Fax Number	:	504-708-4410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	08/11/2009

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Directions to “ DR. MATTHEW K SANGER MD” Practice Location

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