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Individual

SANJIV KUMAR SAHOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2727 W DR MARTIN LUTHER KING JR BLVD STE 700, TAMPA, FL 33607-6378
(813) 321-1429
(813) 321-1431
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 731-5269
(813) 635-2613

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME101127
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006081-01
FL
Enumeration date
07/22/2006
Last updated
01/26/2024
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