Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 35-078993 | OH |
Y | 208200000X | Surgeon | 27138 | WV |
Y | 208600000X | Surgeon | 27138 | WV |
N | 208200000X | Surgeon | 35-078993 | OH |
N | 208600000X | Surgeon | 35-078993 | OH |
NPI | 1649296237 |
---|---|
Provider Name | Juan R Sanabria |
First Address | Huntington, WV 25701-3656 |
Second Address | Huntington, WV 25701-3656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 17/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221168 | UNISON (01) | OH |
000000503723 | ANTHEM (01) | |
2237752 | (05) | OH |
363985 | WELLCARE (01) | OH |
741754 | BUCKEYE (01) | OH |
7813237 | AETNA (01) | |
H34325 | (02) | |
P00166556 | RAILROAD MEDICARE (01) | OH |
P00358847 | RAILROAD MEDICARE (01) | OH |