Individual
DR. SUNEEL L MAHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5742 BOOTH RD, SUITE A, JACKSONVILLE, FL 32207-5982
(904) 739-7779
(904) 739-7771
Mailing address
7015 AC SKINNER PARKWAY, SUITE 1, JACKSONVILLE, FL 32256
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 42191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067558000
—
FL
01
—
15785
BCBS
FL
01
—
203539
AVMED
FL
01
—
4047692
AETNA
FL
05
—
914407571A
—
GA
Enumeration date
06/14/2005
Last updated
06/07/2013
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