MEDICARE: DR. VEERAF M SANJANA 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	207RI0200X	Infectious Disease Physician	142721-1	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740321223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VEERAF M SANJANA M.D.,

Provider Business Mailing Address
First Line	:	121A WEST 20TH STREET
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011
Country	:	US
Telephone Number	:	212-337-9290
Fax Number	:

Provider Business Practice Location Address
First Line	:	121A W 20TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-3601
Country	:	US
Telephone Number	:	212-337-9290
Fax Number	:

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

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	05/22/2009

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