Provider Demographics
NPI:1790086338
Name:SANCHEZ, ARMANDO GONZALEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:GONZALEZ
Last Name:SANCHEZ
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 1:1699 CHATHAM PKWY APT 617B
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-7609
Mailing Address - Country:US
Mailing Address - Phone:832-256-9742
Mailing Address - Fax:
Practice Address - Street 1:1699 CHATHAM PKWY APT 617B
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-7609
Practice Address - Country:US
Practice Address - Phone:832-256-9742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-13
Last Update Date:2010-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA027712174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA027712Other027712