Individual
SANDEEP RAJA SASIDHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4075
(904) 244-5047
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-4075
(904) 244-5047
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME173180
FL
Other
Enumeration date
07/25/2019
Last updated
04/01/2025
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