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NPI Code Detail

MEDICARE: DR. SACHIN SHRINIVAS KAMATH M.D.

MEDICARE: DR. SACHIN SHRINIVAS KAMATH 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
12085R0001XRadiation Oncology PhysicianME69332FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013965359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SACHIN SHRINIVAS KAMATH M.D.
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line : ATTN: CREDENTIALING DEPARTMENT
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number : 239-278-3350
Provider Business Practice Location Address
First Line : 1400 N US HWY 441
Second Line : SUITE 540
City : LADY LAKE
State : FL
Zip : 32159-8987
Country : US
Telephone Number : 352-561-3290
Fax Number : 352-561-3291
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 02/06/2026

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