Provider Demographics
NPI: | 1508836982 |
---|---|
Name: | SANDLER, ADRIAN DAVID (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | ADRIAN |
Middle Name: | DAVID |
Last Name: | SANDLER |
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: | 50 SCHENCK PKWY |
Mailing Address - Street 2: | |
Mailing Address - City: | ASHEVILLE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28803-3499 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 828-651-6588 |
Mailing Address - Fax: | 828-665-8275 |
Practice Address - Street 1: | 11 VANDERBILT PARK DR |
Practice Address - Street 2: | |
Practice Address - City: | ASHEVILLE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28803-1700 |
Practice Address - Country: | US |
Practice Address - Phone: | 828-213-1780 |
Practice Address - Fax: | 828-213-1785 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-01-26 |
Last Update Date: | 2022-02-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 000031748 | 208000000X |
NC | 00-31748 | 2080P0006X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2080P0006X | Allopathic & Osteopathic Physicians | Pediatrics | Developmental - Behavioral Pediatrics |
No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NC | 8974466 | Medicaid | |
NC | 8974466 | Medicaid | |
E64617 | Medicare UPIN |