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Individual
SANJAY MOHINDRA
Active
Individual
SANJAY MOHINDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01060957A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01060957A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000520644
ANTHEM
IN
05
—
200542580
—
IN
01
—
P00414277
MEDICARE RAILROAD
IN
Enumeration date
05/24/2006
Last updated
03/17/2018
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