Provider Demographics
NPI:1558536789
Name:SANCHEZ, CAROLINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2710 PROSPERITY AVENUE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:20902-4053
Mailing Address - Country:US
Mailing Address - Phone:703-280-2841
Mailing Address - Fax:703-650-2322
Practice Address - Street 1:2710 PROSPERITY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4357
Practice Address - Country:US
Practice Address - Phone:703-280-2841
Practice Address - Fax:703-650-2322
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD038282208600000X, 208C00000X
VA0101251494208600000X, 208C00000X
MDD72793208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery