Active NPIIndividual provider

Sybil L Sandoval, MD

Internal Medicine in Avon, Connecticut

NPI Number1407833106
Practice location
44 Dale RD, Prime Healthcare, Avon, CT 06001-3612
Fax
860-674-8984
Last updated
March 7, 2023

Sybil Lee Sandoval is an Internal Medicine based in Avon, CT. Sybil Lee Sandoval practices in Avon, CT and has the professional credentials of MD. The NPI Number for Sybil Lee Sandoval is 1407833106 and holds a License No. 032256 (CT). The current practice location address for Sybil Lee Sandoval is 44 Dale RD, Prime Healthcare, Avon, CT 06001-3612 and can be reached out via phone at 860-674-8830 and via fax at 860-674-8984.

Provider Profile Details

NPI Number
1407833106
Provider Name
Sybil Lee Sandoval
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
44 Dale RD, Prime Healthcare, Avon, CT 06001-3612
Phone Number
860-674-8830
Fax Number
860-674-8984
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
December 23, 2005
Last Update Date
March 7, 2023
Certification Date
June 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Dale RD
Prime Healthcare
Avon, CT 06001-3612
City
Avon
Zip
06001-3612
Phone Number
860-674-8830
Fax Number
860-674-8984
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
30 Jordan Ln
Prime Healthcare
Wethersfield, CT 06109-1278
City
Wethersfield
State
CT
Zip
06109-1278
Phone Number
860-263-0253
Fax Number
860-263-0262

License Information

License Number
032256
License State
CT
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sybil L Sandoval, MD?

The NPI number of Sybil L Sandoval, MD is 1407833106. It was assigned on December 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Sybil L Sandoval, MD?

Sybil L Sandoval, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 032256.

Where does Sybil L Sandoval, MD practice?

The practice location is 44 Dale RD, Prime Healthcare, Avon, CT 06001-3612. The office can be reached at 860-674-8830 (phone) or 860-674-8984 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407833106 directly on the NPPES registry website.

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