MEDICARE: SINDU MUKESH 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
1	390200000X	Student in an Organized Health Care Education/Training Program	TRN42353	FL

General Provider Information

NPI Number	:	1528851565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SINDU MUKESH MD

Provider Business Mailing Address
First Line	:	16640 S POST RD APT 101
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3569
Country	:	US
Telephone Number	:	954-882-1357
Fax Number	:

Provider Business Practice Location Address
First Line	:	2950 CLEVELAND CLINIC BLVD., WESTON FL 33331
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331
Country	:	US
Telephone Number	:	954-600-6848
Fax Number	:

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

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	03/11/2026

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