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NPI Code Detail

MEDICARE: DR. SANJAY AWASTHI M.D.

MEDICARE: DR. SANJAY AWASTHI M.D.
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
1207RX0202XMedical Oncology PhysicianC54833CA
2207RX0202XMedical Oncology PhysicianH7117TX

General Provider Information

NPI Number : 1518904077
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANJAY AWASTHI M.D.
Provider Business Mailing Address
First Line : PO BOX 160748
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32716-0748
Country : US
Telephone Number : 561-253-3980
Fax Number : 561-253-3985
Provider Business Practice Location Address
First Line : 11621 KEW GARDENS AVE STE 101A
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2853
Country : US
Telephone Number : 561-253-3980
Fax Number : 561-253-3985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 04/24/2026

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