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NPI Code Detail

MEDICARE: NADHIWAN SAKARIN M.D.

MEDICARE: NADHIWAN SAKARIN 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
1208M00000XHospitalist Physician31938AZ
2207R00000XInternal Medicine Physician31938AZ

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 : 1528054913
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADHIWAN SAKARIN M.D.
Provider Business Mailing Address
First Line : 14502 W MEEKER BLVD
Second Line :
City : SUN CITY WEST
State : AZ
Zip : 85375-5282
Country : US
Telephone Number : 623-524-8814
Fax Number :
Provider Business Practice Location Address
First Line : 14502 W MEEKER BLVD
Second Line :
City : SUN CITY WEST
State : AZ
Zip : 85375-5282
Country : US
Telephone Number : 623-524-8814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 04/16/2020

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