Provider Demographics
NPI:1558325944
Name:SANCHEZ PALACIOS, MANUEL ENRIQUE (MD)
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:ENRIQUE
Last Name:SANCHEZ PALACIOS
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 1:2971 OLIVE HWY
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-6109
Mailing Address - Country:US
Mailing Address - Phone:530-868-4141
Mailing Address - Fax:530-868-4143
Practice Address - Street 1:2971 OLIVE HWY
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6109
Practice Address - Country:US
Practice Address - Phone:530-868-4141
Practice Address - Fax:530-868-4143
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62826207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA62826OtherSTATE LICENSE
P00471397OtherMEDICARE RAILROAD #
CAGR0100320Medicaid
CAGR0100320Medicaid
P00471397OtherMEDICARE RAILROAD #
F68076Medicare UPIN