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NPI Code Detail

MEDICARE: SANJEEV MAHAT MD

MEDICARE:   SANJEEV  MAHAT  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
1208M00000XHospitalist Physician349500LA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1902544935
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANJEEV MAHAT MD
Provider Business Mailing Address
First Line : 5959 S SHERWOOD FOREST BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-6038
Country : US
Telephone Number : 318-966-4541
Fax Number : 225-765-9196
Provider Business Practice Location Address
First Line : 309 JACKSON ST
Second Line :
City : MONROE
State : LA
Zip : 71201-7407
Country : US
Telephone Number : 318-966-4541
Fax Number : 318-966-4543
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2022
Last Update Date : 01/16/2026

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Directions to “ SANJEEV MAHAT MD” Practice Location

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