Individual
SI SANDY AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DUMC 3094, DURHAM, NC 27710-0001
(919) 684-6633
Mailing address
DUMC 3094, DURHAM, NC 27710-0001
(919) 684-6633
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
247761
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
08/07/2019
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