Provider Demographics
NPI:1851151245
Name:SANCHEZ SURA, OSCAR EFRAIN (MD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:EFRAIN
Last Name:SANCHEZ SURA
Suffix:
Gender:M
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:SSM HEALTH SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Mailing Address - Street 2:1402 SOUTH GRAND BLVD, ROOM M260
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-1004
Mailing Address - Country:US
Mailing Address - Phone:314-617-3137
Mailing Address - Fax:314-977-3127
Practice Address - Street 1:HOSPITAL DEL VALLE BOULEVARD DEL NORTE COLONIA 8 CALLE
Practice Address - Street 2:NE, 21101 EDIFICIO PRINCIPAL CONSULTORIO 14
Practice Address - City:SAN PEDRO SULA
Practice Address - State:HONDURAS
Practice Address - Zip Code:21101
Practice Address - Country:HN
Practice Address - Phone:504-993-1288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-12-19
Deactivation Date:2024-10-23
Deactivation Code:
Reactivation Date:2024-12-19
Provider Licenses
StateLicense IDTaxonomies
MO2024011966207RI0200X
390200000X
ZZ2603128643207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine