1851973531 NPI number — DR. SALIL PHADNIS MD

Table of content: DR. SALIL PHADNIS MD (NPI 1851973531)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851973531 NPI number — DR. SALIL PHADNIS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PHADNIS
Provider First Name:
SALIL
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1851973531
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BETHESDA HEALTH EAST, GME SUITE - EMERGENCY MEDICINE
Provider Second Line Business Mailing Address:
2815 SOUTH SEACREST BLVD
Provider Business Mailing Address City Name:
BOYNTON BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-479-6344
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
720 ESKENAZI AVE FL 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46202-5189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-639-6671
Provider Business Practice Location Address Fax Number:
317-963-5492
Provider Enumeration Date:
04/22/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  01093190A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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