Provider Demographics
NPI:1629287685
Name:SANCHEZ, KATHRYN TINIO (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:TINIO
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:PO BO X 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-272-5754
Mailing Address - Fax:502-272-5339
Practice Address - Street 1:200 ABRAHAM FLEXNER WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2877
Practice Address - Country:US
Practice Address - Phone:313-443-2127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY44041207R00000X, 207RI0200X
IN01068914A207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201067510Medicaid
INP01621999OtherRAILROAD MEDICARE
KYP01677693OtherRAILROAD MEDICARE
000001011864OtherANTHEM
KY50103568OtherPASSPORT HEALTH PLAN
KY7100172630Medicaid
KYK011162Medicare PIN
KY50103568OtherPASSPORT HEALTH PLAN
KY50103568OtherPASSPORT HEALTH PLAN
KY7100172630Medicaid
KYP01502809OtherRAILROAD MEDICARE
ININ2890001Medicare PIN