Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 35-094445 | OH |
N | 204F00000X | Transplant Surgeon | L1448 | TX |
N | 208200000X | Surgeon | L1448 | TX |
N | 208600000X | Surgeon | L1448 | TX |
NPI | 1710908132 |
---|---|
Provider Name | Dr. Edmund Q. Sanchez |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 08/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
144298003 | (05) | TX |
144298004 | (05) | TX |
3003234 | (05) | OH |
8H3713 | BCBS (01) | TX |
H37688 | (02) | TX |