Sandoval, Kenneth A.

Sandoval, Kenneth A. is an individual health care provider with primary practice located at 8401 Datapoint Dr Ste 600 , San Antonio TX 78229-5907. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sandoval, Kenneth A. can be contacted via phone (210) 616-7700.

Contact Information

Primary practice address
8401 Datapoint Dr Ste 600 San Antonio TX 78229-5907
Phone: (210) 616-7700
Fax: (210) 616-7709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X K2997 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X K2997 Texas
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X K2997 Texas

Profile Details

NPI number 1184600918
LBN Legal business name Sandoval, Kenneth A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Apr 9th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184600918 NPPES
Texas Other 8L26728 MEDICARE - STRIC
Texas MEDICAID 1446304-05 MEDICARE - STRIC
Texas MEDICAID 1446304-04 MEDICARE - STRIC
Texas Other P00829953 MEDICARE - STRIC
Texas MEDICAID 1446304-03 MEDICARE - STRIC
Texas Other K2997 MEDICARE - STRIC
Texas Other P00845684 MEDICARE - STRIC

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