MEDICARE: RICHARD MARC SANKARY M.D.

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	207RS0012X	Sleep Medicine (Internal Medicine) Physician	C41816	CA
2	207R00000X	Internal Medicine Physician	C41816	CA
3	207RP1001X	Pulmonary Disease Physician	C41816	CA

General Provider Information

NPI Number	:	1861481541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD MARC SANKARY M.D.

Provider Business Mailing Address
First Line	:	2160 APPIAN WAY
Second Line	:	SUITE 200
City	:	PINOLE
State	:	CA
Zip	:	94564-2524
Country	:	US
Telephone Number	:	510-724-9110
Fax Number	:	916-239-3602

Provider Business Practice Location Address
First Line	:	2160 APPIAN WAY
Second Line	:	SUITE 200
City	:	PINOLE
State	:	CA
Zip	:	94564-2524
Country	:	US
Telephone Number	:	510-724-9110
Fax Number	:	916-239-3611

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

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	04/23/2024

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