Provider Demographics
NPI:1861572125
Name:SANCHEZ, RAMON C (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:C
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1832 S 324TH PL
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8505
Mailing Address - Country:US
Mailing Address - Phone:253-835-8979
Mailing Address - Fax:253-835-9369
Practice Address - Street 1:1832 S 324TH PL
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8505
Practice Address - Country:US
Practice Address - Phone:253-835-8979
Practice Address - Fax:253-835-9369
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00014571207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1111822Medicaid
WAGAB25675Medicare PIN
WAA20817Medicare UPIN