Provider Demographics
NPI:1265650048
Name:SANG, EVADNE (MD)
Entity type:Individual
Prefix:DR
First Name:EVADNE
Middle Name:
Last Name:SANG
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 8619
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00823-8619
Mailing Address - Country:US
Mailing Address - Phone:340-778-6311
Mailing Address - Fax:
Practice Address - Street 1:4007 EST. DIAMOND RUBY
Practice Address - Street 2:
Practice Address - City:CHRISTIANSLED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-778-6311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029185202C00000X
VI1761202C00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner