Provider Demographics
NPI:1700945771
Name:S.P. SANCHETI MD PA
Entity Type:Organization
Organization Name:S.P. SANCHETI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:S
Authorized Official - Middle Name:P
Authorized Official - Last Name:SANCHETI
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:256-442-8380
Mailing Address - Street 1:3226 RAINBOW DR
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-5805
Mailing Address - Country:US
Mailing Address - Phone:256-442-8380
Mailing Address - Fax:256-442-8312
Practice Address - Street 1:3226 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-5805
Practice Address - Country:US
Practice Address - Phone:256-442-8380
Practice Address - Fax:256-442-8312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7811207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1417930496OtherNPI ( SELF)
AL1417930496OtherNPI ( SELF)