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Individual

DR. SANDEEP BAJAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
483 N SEMORAN BLVD, SUITE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246
Mailing address
483 N SEMORAN BLVD, SUITE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME64582
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME64582
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060039486
RAILROAD MEDICARE
FL
01
1090291
UNITED H'CARE PROV ID #
FL
01
12650
FHHS PROV ID #
FL
01
196550
STAYWELL MCD PROV ID #
FL
01
208683
AMERIGROUP MCD PROV ID #
FL
01
2171130012
CIGNA PROV ID #
FL
01
23141
BCBS OF FL PROV ID #
FL
01
273066
GREAT WEST PROV ID #
FL
05
373499400
FL
01
386222
HUMANA PROV ID #
FL
01
4411299
AETNA PRO ID
FL
01
72852
FIRST HEALTH PROV ID #
FL
Enumeration date
06/13/2005
Last updated
06/28/2021
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