MEDICARE: DR. SHANKAR SADHWANI 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	207R00000X	Internal Medicine Physician	207462	NY

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	:	1720186414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANKAR SADHWANI M.D.

Provider Business Mailing Address
First Line	:	8635 QUEENS BLVD
Second Line	:	ST 2G
City	:	ELMHURST
State	:	NY
Zip	:	11373-4434
Country	:	US
Telephone Number	:	718-898-9154
Fax Number	:	516-517-9515

Provider Business Practice Location Address
First Line	:	8635 QUEENS BLVD
Second Line	:	ST 2G
City	:	ELMHURST
State	:	NY
Zip	:	11373-4434
Country	:	US
Telephone Number	:	718-898-9154
Fax Number	:	516-517-9515

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	06/24/2025

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