MEDICARE: DR. SUMAN K SAWHNEY 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
1	207R00000X	Internal Medicine Physician	146071	NY
2	207R00000X	Internal Medicine Physician	ME135082	FL

General Provider Information

NPI Number	:	1174520456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUMAN K SAWHNEY M.D.

Provider Business Mailing Address
First Line	:	6900 TAVISTOCK LAKES BLVD STE 300
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-7592
Country	:	US
Telephone Number	:	321-332-6947
Fax Number	:	407-286-4515

Provider Business Practice Location Address
First Line	:	2185 CHENEY HWY
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32780-6700
Country	:	US
Telephone Number	:	321-269-9800
Fax Number	:	321-269-7082

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	08/24/2023

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