Provider Demographics
NPI:1487678116
Name:SANCHEZ, RAMON M (MD)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:M
Last Name:SANCHEZ
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:PO BOX 420297
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-0297
Mailing Address - Country:US
Mailing Address - Phone:404-255-5330
Mailing Address - Fax:404-255-5416
Practice Address - Street 1:5730 GLENRIDGE DR STE 220
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5579
Practice Address - Country:US
Practice Address - Phone:404-255-5330
Practice Address - Fax:404-255-5416
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0334422084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP2400OtherMEDICARE GROUP NUMBER
GAGRP2400OtherMEDICARE GROUP NUMBER
GAGRP2400OtherMEDICARE GROUP NUMBER
E74901Medicare UPIN
GAGRP2400OtherMEDICARE GROUP NUMBER