Provider Demographics
NPI:1881664159
Name:CHAI, SANDRA E (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:E
Last Name:CHAI
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 1:1 ST. VINCENT CR. STE 160
Mailing Address - Street 2:INFECTIOUS DISEASE RESOURCE GROUP
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-661-0037
Mailing Address - Fax:501-661-0038
Practice Address - Street 1:1 ST. VINCENT CIRCLE
Practice Address - Street 2:SUITE 160
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6326
Practice Address - Country:US
Practice Address - Phone:501-661-0037
Practice Address - Fax:501-661-0038
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARN7844207RC0200X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR125678001Medicaid
AR55873Medicare ID - Type Unspecified
AR125678001Medicaid