Individual
DR. SANJAY K EMANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3550 NE LOOP 286, PARIS, TX 75460-5004
(903) 785-0031
(972) 784-6755
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
ME87489
FL
2085R0001X
Radiation Oncology Physician
Primary
Q9990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200681210A
OKLAHOMA MEDICAID
OK
05
—
267645100
—
FL
05
—
362377901
—
TX
01
—
P01794670
RAILROAD
TX
Enumeration date
07/14/2005
Last updated
04/10/2017
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