Individual
DR. SANJAY AWASTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11621 KEW GARDENS AVE STE 101A, PALM BEACH GARDENS, FL 33410-2853
(561) 253-3980
(561) 253-3985
Mailing address
PO BOX 160748, ALTAMONTE SPRINGS, FL 32716-0748
(561) 253-3980
(561) 253-3985
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
C54833
CA
207RX0202X
Medical Oncology Physician
H7117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163170A
—
OK
05
—
138510606
—
TX
05
—
138510607
—
TX
05
—
138510613
—
TX
01
—
8R1390
BLUE CROSS OF TEXAS
TX
Enumeration date
06/01/2006
Last updated
04/24/2026
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