Provider Demographics
NPI:1295759322
Name:SANCHEZ, WILLIAM C
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 Q ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-2817
Mailing Address - Country:US
Mailing Address - Phone:202-328-7200
Mailing Address - Fax:202-986-7263
Practice Address - Street 1:2232 Q ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2817
Practice Address - Country:US
Practice Address - Phone:202-328-7200
Practice Address - Fax:202-986-7263
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD25863207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005681537Medicaid
DC023330600Medicaid
MD204281900Medicaid
VA005681537Medicaid
DCB94485Medicare UPIN