Provider Demographics
NPI:1912971391
Name:SANCHEZ, SUE ONKEN (MD)
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:ONKEN
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 1:1661 LUCERNE ST
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-4381
Mailing Address - Country:US
Mailing Address - Phone:775-392-3232
Mailing Address - Fax:775-392-3233
Practice Address - Street 1:1661 LUCERNE ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4381
Practice Address - Country:US
Practice Address - Phone:775-392-3232
Practice Address - Fax:775-392-3233
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9360207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100506302Medicaid
NV100506302Medicaid
NVBV661ZMedicare PIN