Individual
DR. SACHIN R SHENOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1845 JESS PARRISH CT, TITUSVILLE, FL 32796-2123
(321) 264-2011
(321) 264-0442
Mailing address
PO BOX 5779, TITUSVILLE, FL 32783-5779
(321) 264-2011
(321) 264-0442
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 94151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274060500
—
FL
Enumeration date
01/20/2006
Last updated
08/09/2011
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