| Coral Springs Medical Group Inc. | |
|
10000 W Sample Rd Coral Springs FL 33065-3936 | |
| (754) 812-1000 | |
| Not Available |
| Full Name | Coral Springs Medical Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 10000 W Sample Rd, Coral Springs, Florida |
| Authorized Official Name and Position | Khyati V Solanki (BILLING MANAGER) |
| Authorized Official Contact | 5615742214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Springs Medical Group Inc. 10000 W Sample Rd Coral Springs FL 33065-3936 Ph: (754) 812-1000 | Coral Springs Medical Group Inc. 10000 W Sample Rd Coral Springs FL 33065-3936 Ph: (754) 812-1000 |
| NPI Number | 1255824157 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 05/31/2023 |
| Medicare PECOS PAC ID | 9234460866 |
|---|---|
| Medicare Enrollment ID | O20191014001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255824157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammad T Sheikh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437205796 PECOS PAC ID: 0446155204 Enrollment ID: I20031204000571 |
| Provider Name | Mohamed H Gajraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275539447 PECOS PAC ID: 4183701378 Enrollment ID: I20100317000170 |
| Provider Name | Jason N Gajraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467758912 PECOS PAC ID: 0244458008 Enrollment ID: I20140820002263 |
| Provider Name | Shahnaz Shazeena Maharaj- Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427629674 PECOS PAC ID: 7214325232 Enrollment ID: I20211025001949 |
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