Individual
RICHARD SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16489 GLENEAGLES CT, NOBLESVILLE, IN 46060-7182
(219) 669-0111
Mailing address
16489 GLENEAGLES CT, NOBLESVILLE, IN 46060-7182
(219) 669-0111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01051929A
IN
2085R0204X
Vascular & Interventional Radiology Physician
2016-01711
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000371808
BCBS
IN
01
—
000000371811
BCBS
IN
05
—
200456070
—
IN
01
—
P00261945
RAILROAD MEDICARE
IN
Enumeration date
08/12/2005
Last updated
11/16/2017
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