Individual provider Active NPI

Edwin Gandia Sanchez, MD, MS, MT (ASCP)

  • Molecular Genetic Pathology (Medical Genetics) Physician
  • Bethesda, MD
National Provider Identifier
1457664922
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Molecular Genetic Pathology (Medical Genetics) PhysicianTaxonomy code 207SM0001X
License
01069864A Issued in IN
Practice address
Wrnmmc Anatomic Pathology
8901 Wisconsin Ave BLDG 9, RM 0849
Bethesda, MD 20889
Phone
(301) 295-0060
NPI assigned
Jul 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01069864A IN
Molecular Genetic Pathology (Medical Genetics) Physician 207SM0001X 01069864A IN Primary

Addresses

Primary practice location

Wrnmmc Anatomic Pathology
8901 Wisconsin Ave BLDG 9, RM 0849
Bethesda, MD 20889

Mailing address

Wrnmmc Anatomic Pathology
8901 Wisconsin Ave BLDG 9, RM 0849
Bethesda, MD 20889
Phone (301) 295-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Master of Science, Medical Technician

State licenses

LicenseStateTypeSpecialty
01069864AINMDMolecular Genetic Pathology (Medical Genetics) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1457664922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WRNMMC ANATOMIC PATHOLOGY",
            "address_2": "8901 WISCONSIN AVE BLDG 9, RM 0849",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20889",
            "telephone_number": "301-295-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WRNMMC ANATOMIC PATHOLOGY",
            "address_2": "8901 WISCONSIN AVE BLDG 9, RM 0849",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20889",
            "telephone_number": "301-295-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDIA SANCHEZ",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD, MS, MT (ASCP)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01069864A",
            "primary": false
        },
        {
            "code": "207SM0001X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": "IN",
            "license": "01069864A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.