Individual
SANJAY RAZDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 NW 82ND AVE STE PH501, DORAL, FL 33166-6658
(305) 251-8650
(305) 251-8913
Mailing address
3650 NW 82ND AVE STE PH501, DORAL, FL 33166-6658
(305) 251-8650
(305) 251-8913
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME81109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246000
STAYWELL
FL
05
—
271022600
—
FL
01
—
44003
BCBS
FL
01
—
7235637
AETNA
FL
01
—
P00419005
RAILROAD MEDICARE
FL
Enumeration date
04/13/2006
Last updated
08/31/2022
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