EDWARD SANDERS MD NPI 1790909588

NPI Information

NPI: 1790909588
Provider Name: EDWARD SANDERS, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
3706 TELEGRAPH AVE
OAKLAND, CA
ZIP 94609
Phone: (510) 331-2788
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Edward Sanders, MD is a general practice in Oakland, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Edward Sanders, MD NPI is 1790909588. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3706 TELEGRAPH AVE
OAKLAND, CA
ZIP 94609-418
Phone: (510) 331-2788
Fax: (510) 653-7159

The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		C29998	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A34086	MEDICARE UPIN
2	00C299981	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE 3706 TELEGRAPH
3	ZZZ35070Z	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE PROVIDER NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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