Provider Demographics
NPI:1972548485
Name:SANCHEZ, ALISHA (MD)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
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 BOX 47490
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-7490
Mailing Address - Country:US
Mailing Address - Phone:316-962-3150
Mailing Address - Fax:316-962-7334
Practice Address - Street 1:550 N HILLSIDE ST
Practice Address - Street 2:KU WICHITA PEDIATRIC HOSPITALISTS
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4910
Practice Address - Country:US
Practice Address - Phone:316-962-4722
Practice Address - Fax:316-962-7805
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-27764208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS13222OtherPHS
KS142140OtherCOVENTRY
KS100354140CMedicaid
KS12149483OtherMULTIPLAN
KS057833OtherBCBS
KS103697OtherHPK
KS142140OtherCOVENTRY
KS13222OtherPHS