MEDICARE: DR. SANJAY KEDHAR 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	207W00000X	Ophthalmology Physician	D60540	MD
2	207WX0108X	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	141299	CA
3	207WX0120X	Cornea and External Diseases Specialist Physician	141299	CA
4	207WX0108X	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	C141299	CA

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	:	1700833951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANJAY KEDHAR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 631568
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21263-1568
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 HEALTH SCIENCES RD
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92697-6831
Country	:	US
Telephone Number	:	949-824-2020
Fax Number	:

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	02/25/2025

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Directions to “ DR. SANJAY KEDHAR M.D.” Practice Location

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