Ivan Carbonell-Sanchez, MPH, PA-C
Physician Assistant, Medical in Gaithersburg, MD. Individual provider (NPI-1).
NPI number1548465917
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1548465917
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ivan Carbonell-Sanchez
- Credential
- MPH, PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | C0001664 | MD | Yes |
Practice location
18731 Blue Violet LnGaithersburg, MD 20879-1529
Phone 301-519-6890 · Fax 202-782-9169
Mailing address
18731 Blue Violet LnGaithersburg, MD 20879-1529
Phone 301-519-6890 · Fax 202-782-9169
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