Provider Demographics
NPI:1558508788
Name:SANCHEZ, CARMEN I (MD)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:I
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 1:6823 SAINT CHARLES AVE
Mailing Address - Street 2:BUILDING 92
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5665
Mailing Address - Country:US
Mailing Address - Phone:504-865-5255
Mailing Address - Fax:504-865-5083
Practice Address - Street 1:6823 SAINT CHARLES AVE
Practice Address - Street 2:BUILDING 92
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5665
Practice Address - Country:US
Practice Address - Phone:504-865-5255
Practice Address - Fax:504-865-5083
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.203279207R00000X, 208M00000X
TXM6375207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BB489OtherBCBS
TX8BB489OtherBCBS