MEDICARE: SMRITI BANTHIA 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	207RC0001X	Clinical Cardiac Electrophysiology Physician	01068950A	IN
2	207RC0000X	Cardiovascular Disease Physician	01068950A	IN
3	207RC0001X	Clinical Cardiac Electrophysiology Physician	93567	SC
4	207RC0001X	Clinical Cardiac Electrophysiology Physician	ME151810	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558544486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SMRITI BANTHIA M.D.

Provider Business Mailing Address
First Line	:	1040 SIERRA DR STE 400
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-7241
Country	:	US
Telephone Number	:	317-528-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 BEE RIDGE RD STE F
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34233-1207
Country	:	US
Telephone Number	:	941-484-6758
Fax Number	:	941-404-4451

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

Provider Enumeration Date	:	12/13/2007
Last Update Date	:	02/11/2026

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Directions to “ SMRITI BANTHIA M.D.” Practice Location

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