Individual
DR. SANJIV WALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2215 NEBRASKA AVE, SUITE1F2, FORT PIERCE, FL 34950-4864
(772) 466-1977
(772) 466-2433
Mailing address
2215 NEBRASKA AVE, SUITE1F2, FORT PIERCE, FL 34950-4864
(772) 466-1977
(772) 466-2433
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME0042047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68316700
—
FL
Enumeration date
08/17/2006
Last updated
07/11/2012
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