MEDICARE: DR. WOMESH C SAHADEO 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	2084P0800X	Psychiatry Physician	ME 0050472	FL

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	:	1386625929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WOMESH C SAHADEO M.D.

Provider Business Mailing Address
First Line	:	1115 45TH ST
Second Line	:	SUITE 1
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2376
Country	:	US
Telephone Number	:	561-863-4600
Fax Number	:	561-863-4646

Provider Business Practice Location Address
First Line	:	1115 45TH ST
Second Line	:	SUITE 1
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2376
Country	:	US
Telephone Number	:	561-863-4600
Fax Number	:	561-863-4646

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	02/01/2012

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