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Organization
SANJAY K MADAN MD PA
Active
Organization
SANJAY K MADAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY K MADAN MD (OWNER)
(727) 669-2969
Entity
Organization
Contact information
Practice address
3190 MCMULLEN BOOTH RD, STE 201, CLEARWATER, FL 33761
(727) 669-2969
(727) 669-7460
Mailing address
3190 MCMULLEN BOOTH RD, STE 201, CLEARWATER, FL 33761
(727) 669-2969
(727) 669-7460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0073402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34721
BC
FL
Enumeration date
11/22/2006
Last updated
08/22/2020
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