Provider Demographics
NPI:1598994303
Name:SANDOVAL, MONICA M (MD)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:M
Last Name:SANDOVAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR
Mailing Address - Street 2:STE 2110
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:505-272-4868
Mailing Address - Fax:
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE NM MSC10 5550
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-4868
Practice Address - Fax:505-272-9134
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD75129207RH0002X
NMMD2017-0641207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine