1639244999 NPI number — SANJAY K MADAN MD PA

Table of content: (NPI 1639244999)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639244999 NPI number — SANJAY K MADAN MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SANJAY K MADAN MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639244999
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3190 MCMULLEN BOOTH RD
Provider Second Line Business Mailing Address:
STE 201
Provider Business Mailing Address City Name:
CLEARWATER
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33761
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-669-2969
Provider Business Mailing Address Fax Number:
727-669-7460

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3190 MCMULLEN BOOTH RD
Provider Second Line Business Practice Location Address:
STE 201
Provider Business Practice Location Address City Name:
CLEARWATER
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33761
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-669-2969
Provider Business Practice Location Address Fax Number:
727-669-7460
Provider Enumeration Date:
11/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MADAN
Authorized Official First Name:
SANJAY
Authorized Official Middle Name:
K
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
727-669-2969

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME0073402 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 34721 . This is a "BC" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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