Individual
SANJAY KARATAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 792-6611
Mailing address
5380 TECH DATA DR STE 101, CLEARWATER, FL 33760-3122
(800) 507-8874
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME145395
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FK9382879
MEDICAL LICENSE
FL
Enumeration date
04/06/2017
Last updated
09/05/2020
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