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NPI Code Detail

MEDICARE: SANJAY CHANDRASEKHAR M.D.

MEDICARE: SANJAY CHANDRASEKHAR 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
1207R00000XInternal Medicine PhysicianME163314FL
2390200000XStudent in an Organized Health Care Education/Training Program
3207RA0001XAdvanced Heart Failure and Transplant Cardiology Physician338705NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851824247
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANJAY CHANDRASEKHAR M.D.
Provider Business Mailing Address
First Line : 17 DAVIS BLVD STE 308
Second Line :
City : TAMPA
State : FL
Zip : 33606-3438
Country : US
Telephone Number : 813-259-0661
Fax Number :
Provider Business Practice Location Address
First Line : 17 DAVIS BLVD STE 308
Second Line :
City : TAMPA
State : FL
Zip : 33606-3438
Country : US
Telephone Number : 813-259-0661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 01/16/2026

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