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1669593091

NPI Code Detail

MEDICARE: SANJAY N SHEWAKRAMANI MD

MEDICARE: SANJAY N SHEWAKRAMANI 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	207P00000X	Emergency Medicine Physician	14506	WI
2	207P00000X	Emergency Medicine Physician	L-218088	MA
3	207P00000X	Emergency Medicine Physician	MD037870	DC
4	207P00000X	Emergency Medicine Physician	35-123373	OH
5	207P00000X	Emergency Medicine Physician	4301090062	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00773624	OTHER	DC	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1669593091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANJAY N SHEWAKRAMANI MD

Provider Business Mailing Address
First Line	:	3000 HOSPITAL DR
Second Line	:
City	:	BATAVIA
State	:	OH
Zip	:	45103-1921
Country	:	US
Telephone Number	:	513-732-8200
Fax Number	:	937-619-4150

Provider Business Practice Location Address
First Line	:	4750 HEMPSTEAD STATION DR
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45429-5164
Country	:	US
Telephone Number	:	800-875-0136
Fax Number	:	937-619-4150

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	12/30/2025

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Directions to “ SANJAY N SHEWAKRAMANI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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