Provider Demographics
NPI:1316152200
Name:SANCHEZ, CAROLYN MING-WAI KWOK (MD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:MING-WAI KWOK
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42813 VESTALS GAP DR
Mailing Address - Street 2:
Mailing Address - City:BROADLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:20148-4041
Mailing Address - Country:US
Mailing Address - Phone:914-419-4544
Mailing Address - Fax:
Practice Address - Street 1:43480 YUKON DR STE 2200
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6988
Practice Address - Country:US
Practice Address - Phone:703-359-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-13
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8734530-1205208000000X
VA0101265805208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics