Individual
JUAN R SANABRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE 2500, HUNTINGTON, WV 25701-3656
(304) 691-1200
(304) 691-1287
Mailing address
1600 MEDICAL CENTER DR, SUITE 2500, HUNTINGTON, WV 25701-3656
(304) 691-1200
(304) 691-1287
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
35-078993
OH
208600000X
Surgery Physician
Primary
27138
WV
208600000X
Surgery Physician
35-078993
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221168
UNISON
OH
01
—
000000503723
ANTHEM
—
05
—
2237752
—
OH
01
—
363985
WELLCARE
OH
01
—
741754
BUCKEYE
OH
01
—
7813237
AETNA
—
01
—
P00166556
RAILROAD MEDICARE
OH
01
—
P00358847
RAILROAD MEDICARE
OH
Enumeration date
07/15/2006
Last updated
11/17/2021
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