Individual
CHARLES VAN SANDERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 PERDIDO ST, NEW ORLEANS, LA 70112-1352
(504) 903-3000
Mailing address
1340 POYDRAS ST, SUITE 1640, NEW ORLEANS, LA 70112-1221
(504) 412-1835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
009854
LA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
009854
LA
207RI0200X
Infectious Disease Physician
Primary
009854
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121851
—
LA
Enumeration date
07/25/2006
Last updated
10/29/2008
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