Healthcare Provider Details

I. General information

NPI: 1962612184
Provider Name (Legal Business Name): RAJA SAWHNEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17222 HOSPITAL BLVD STE 346
BROOKSVILLE FL
34601-8925
US

IV. Provider business mailing address

17222 HOSPITAL BLVD STE 346
BROOKSVILLE FL
34601-8925
US

V. Phone/Fax

Practice location:
  • Phone: 352-796-3334
  • Fax: 352-796-3323
Mailing address:
  • Phone: 352-796-3334
  • Fax: 352-796-3323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME110848
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: