| Sanjay K Madan Md Pa | |
|
3190 Mcmullen Booth Rd Ste 201 Clearwater FL 33761 | |
| (727) 669-2969 | |
| (727) 669-7460 |
| Full Name | Sanjay K Madan Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3190 Mcmullen Booth Rd, Clearwater, Florida |
| Authorized Official Name and Position | Sanjay K Madan (OWNER) |
| Authorized Official Contact | 7276692969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay K Madan Md Pa 3190 Mcmullen Booth Rd Ste 201 Clearwater FL 33761 Ph: (727) 669-2969 | Sanjay K Madan Md Pa 3190 Mcmullen Booth Rd Ste 201 Clearwater FL 33761 Ph: (727) 669-2969 |
| NPI Number | 1639244999 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639244999 | NPI | - | NPPES |
| 34721 | Other | FL | BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0073402 (Florida) | Primary |
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