Individual
SANJAY MUGHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3850
(904) 244-4799
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5667
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004010178
MO
207R00000X
Internal Medicine Physician
87369
GA
207R00000X
Internal Medicine Physician
MD-2019-0845
NM
207R00000X
Internal Medicine Physician
ME100334
FL
208M00000X
Hospitalist Physician
Primary
31102
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07893
BLUE CROSS/BLUE SHIELD OF FLORIDA
FL
01
—
10001775900
COMMUNITY HEALTH PLAN
MO
05
—
100099580N
—
KS
01
—
1008065
AETNA
MO
01
—
22979012
BLUE CROSS BLUE SHIELD
MO
05
—
245260787A
—
GA
05
—
2798123-00
—
FL
05
—
540156809
—
MO
01
—
603723
BLUE CROSS BLUE SHIELD
KS
Enumeration date
07/04/2006
Last updated
02/16/2024
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