MEDICARE: DR. MANOJ SADHNANI DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	N005610	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1164521191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANOJ SADHNANI DPM

Provider Business Mailing Address
First Line	:	19 HOWARD CT
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-3200
Country	:	US
Telephone Number	:	718-341-5313
Fax Number	:	718-528-3534

Provider Business Practice Location Address
First Line	:	23520 147TH AVE
Second Line	:
City	:	ROSEDALE
State	:	NY
Zip	:	11422-3293
Country	:	US
Telephone Number	:	718-341-5313
Fax Number	:	718-528-3534

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	03/26/2014

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