# MALCOM S SANDERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215903695
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 4818 | SD | Yes |

## Other

- **Enumeration date:** 02/27/2006
- **Last updated:** 04/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0007578 | BCBS | SD |
| 05 | — | 0535625 | — | IA |
| 05 | — | 1632861-01 | — | TX |
| 01 | — | 45F835A | BCBS | MN |
| 05 | — | 517762600 | — | MN |
| 05 | — | 5700910 | — | SD |