# DR. ELIZABETH SANCHEZ MATEOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790783637
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01033055A | IN | — |
| 207V00000X | Obstetrics & Gynecology Physician | 01033055B | IN | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 11/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000084916 | BCBS | IN |
| 05 | — | 100124750A | — | IN |
| 01 | — | 160025634 | RAILROAD MED | IN |
| 01 | — | 351519328 | COMMERCIAL | IN |
