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NPI Code Detail

MEDICARE: ADIL MOHAMED SANAULLA MD

MEDICARE: ADIL MOHAMED SANAULLA 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
1207R00000XInternal Medicine PhysicianME83871FL

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 : 1295738698
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADIL MOHAMED SANAULLA MD
Provider Business Mailing Address
First Line : 7853 NW 60TH LN
Second Line :
City : PARKLAND
State : FL
Zip : 33067-3325
Country : US
Telephone Number : 954-757-0972
Fax Number :
Provider Business Practice Location Address
First Line : 350 7TH ST N
Second Line :
City : NAPLES
State : FL
Zip : 34102-5754
Country : US
Telephone Number : 239-436-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 07/08/2007

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Directions to “ ADIL MOHAMED SANAULLA MD” Practice Location

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