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NPI Code Detail

MEDICARE: DR. LUIS A SANABRIA MD

MEDICARE: DR. LUIS A SANABRIA 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
1208000000XPediatrics Physician41598TN

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 : 1821053604
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUIS A SANABRIA MD
Provider Business Mailing Address
First Line : 6847 MOUNTAIN VIEW ROAD
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-6561
Country : US
Telephone Number : 423-910-1289
Fax Number : 423-910-1260
Provider Business Practice Location Address
First Line : 6847 MOUNTAIN VIEW ROAD
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-6561
Country : US
Telephone Number : 423-910-1289
Fax Number : 423-910-1260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 06/06/2012

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Directions to “ DR. LUIS A SANABRIA MD” Practice Location

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