Individual
CARLO ANDREI DE LA SANCHA VERDUZCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 POTRERO AVE RM 114, SAN FRANCISCO, CA 94110-3518
(628) 206-6068
Mailing address
350 W 11TH ST, SUITE 4083, INDIANAPOLIS, IN 46202-4108
(317) 274-2476
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
A171656
CA
207ZD0900X
Dermatopathology (Pathology) Physician
A171656
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A171656
CA
390200000X
Student in an Organized Health Care Education/Training Program
11019158A
IN
Other
Enumeration date
04/25/2017
Last updated
04/02/2023
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