Individual
DR. SUJAI DEEP NATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 955-4600
(833) 625-1604
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(561) 955-6663
(561) 955-2879
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
033253
CT
2084N0400X
Neurology Physician
33507
SC
2084N0400X
Neurology Physician
DR-48179
CO
2084N0400X
Neurology Physician
Primary
ME105307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010033253CT04
ANTHEM BCBS
CT
01
—
033253
MEDICAL LICENSE
CT
05
—
102318500
—
FL
01
—
PP528
MEDICARE PIN
FL
05
—
Q33253
—
SC
Enumeration date
06/23/2005
Last updated
05/24/2024
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