Provider Demographics
NPI:1548231889
Name:SANDERS, ELBERT MAX (MD)
Entity Type:Individual
Prefix:DR
First Name:ELBERT
Middle Name:MAX
Last Name:SANDERS
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 1:1007 GOODYEAR AVE
Mailing Address - Street 2:GADSDEN REGIONAL MEDICAL CENTER
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901
Mailing Address - Country:US
Mailing Address - Phone:256-494-4000
Mailing Address - Fax:256-494-4234
Practice Address - Street 1:1007 GOODYEAR AVE
Practice Address - Street 2:GADSDEN REGIONAL MEDICAL CENTER
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901
Practice Address - Country:US
Practice Address - Phone:256-494-4000
Practice Address - Fax:256-494-4234
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00005271207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C75642Medicare UPIN