Provider Demographics
NPI:1376597484
Name:SACHS, HANSON PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:HANSON
Middle Name:PHILIP
Last Name:SACHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR
Mailing Address - State:FL
Mailing Address - Zip Code:33756-1924
Mailing Address - Country:US
Mailing Address - Phone:727-559-2108
Mailing Address - Fax:
Practice Address - Street 1:433 SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:BELLEAIR
Practice Address - State:FL
Practice Address - Zip Code:33756-1924
Practice Address - Country:US
Practice Address - Phone:727-559-2108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036862207Q00000X
FLME61662207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E98109Medicare UPIN