MEDICARE: HEMENDRA SHRIGOPAL SARDA 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	208M00000X	Hospitalist Physician	0101253685	VA
2	207Q00000X	Family Medicine Physician	0101253685	VA
3	207Q00000X	Family Medicine Physician	FS3811898	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	:	1508185992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEMENDRA SHRIGOPAL SARDA M.D.

Provider Business Mailing Address
First Line	:	4642 DARLINGTON RD
Second Line	:
City	:	HOLIDAY
State	:	FL
Zip	:	34690-3906
Country	:	US
Telephone Number	:	727-350-8687
Fax Number	:	949-864-3926

Provider Business Practice Location Address
First Line	:	3838 W NEPTUNE ST STE D5
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5841
Country	:	US
Telephone Number	:	727-824-0780
Fax Number	:

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

Provider Enumeration Date	:	05/25/2010
Last Update Date	:	01/26/2026

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