Pedraza Cardozo, Sandra Liliana

Pedraza Cardozo, Sandra Liliana is an individual health care provider with primary practice located at 5255 Loughboro Rd Nw Bldg B , Washington DC 20016-2633. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Pedraza Cardozo, Sandra Liliana can be contacted via phone (202) 660-7834.

Contact Information

Primary practice address
5255 Loughboro Rd Nw Bldg B Washington DC 20016-2633
Fax: (202) 243-5271
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X D88226 Maryland
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X D88226 Maryland

Profile Details

NPI number 1053502245
LBN Legal business name Pedraza Cardozo, Sandra Liliana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Nov 4th, 2019 - about 5 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 1053502245 NPPES
West Virginia MEDICAID 3810024568
West Virginia MEDICAID PENDING
West Virginia Other D88226
West Virginia Other 4653868780

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