Individual
DR. SUDHIR HANSALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3611 LITTLE RD, TRINITY, FL 34655-1813
(727) 312-4300
(727) 413-4335
Mailing address
5000 PARK ST N STE 1017, ST PETERSBURG, FL 33709-2236
(727) 344-6570
(727) 384-4388
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME114725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018165100
FLORIDA MEDICAID ID
FL
01
—
6VBQR
BCBS FL
FL
05
—
8528341
—
FL
01
—
KX084
MEDICARE
FL
01
—
KX085
MEDICARE
FL
Enumeration date
05/02/2007
Last updated
08/31/2020
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