Individual
SANJAY SARADHI BOMMAKANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14273 W GRAND AVE STE 100, SURPRISE, AZ 85374-4361
(623) 428-8189
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37252
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281108
—
AZ
01
—
P00628928
MEDICARE RAILROAD#
AZ
Enumeration date
09/04/2007
Last updated
03/17/2026
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