Provider Demographics
NPI:1518077965
Name:SANCHEZ, LEAH OUANO (MD)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:OUANO
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1722 PINE ST..
Mailing Address - Street 2:STE. 606
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1114
Mailing Address - Country:US
Mailing Address - Phone:334-613-0758
Mailing Address - Fax:334-386-9725
Practice Address - Street 1:1722 PINE ST..
Practice Address - Street 2:STE. 606
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1114
Practice Address - Country:US
Practice Address - Phone:334-613-0758
Practice Address - Fax:334-386-9725
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL227102084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL126007Medicaid
AL000009457Medicaid
000009457SANMedicare ID - Type Unspecified
AL000009457Medicaid
G18280Medicare UPIN