Provider Demographics
NPI:1851743801
Name:SAINTELIA, SANDY (MD)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:
Last Name:SAINTELIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SANDY
Other - Middle Name:
Other - Last Name:LEXINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4000 LINGLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1017
Mailing Address - Country:US
Mailing Address - Phone:717-231-8867
Mailing Address - Fax:717-231-8535
Practice Address - Street 1:4000 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1017
Practice Address - Country:US
Practice Address - Phone:717-231-8867
Practice Address - Fax:717-231-8535
Is Sole Proprietor?:No
Enumeration Date:2016-07-01
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD468936207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103361180Medicaid