MEDICARE: SAPIDEH GILANI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	158214	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	158214	OTHER	MA	TUFTS HEALTH PLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	J19969	OTHER	MA	BLUE CROSS
4	0019997	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
5	0047049-002	OTHER	MA	CIGNA
6	J214	OTHER	MA	HARVARD PILGRIM

General Provider Information

NPI Number	:	1003825571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAPIDEH GILANI MD

Provider Business Mailing Address
First Line	:	200 W ARBOR DR # MC8895
Second Line	:	DIVISION OF OTOLARYNGOLOGY UCSD
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-1911
Country	:	US
Telephone Number	:	619-543-7895
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 W ARBOR DR # MC8895
Second Line	:	DIVISION OF OTOLARYNGOLOGY UCSD
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-1911
Country	:	US
Telephone Number	:	619-543-7895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	04/26/2016

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Directions to “ SAPIDEH GILANI MD” Practice Location

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