SADIQ MANDANI (NPI# 1336165760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336165760 |
| Entity Type | Individual |
| Full Name | SADIQ MANDANI |
| Credential | M.D. |
| Practice Address |
1410 W Broadway St Suite 104 Oviedo FL 32765-6456 |
| Practice Telephone | 4079771135 |
| Practice Fax Number | 4079779946 |
| Mailing Telephone | 4079771135 |
| Mailing Fax Number | 4079779946 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2012-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME 90618 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 271972000 | 05 |
| Street Address |
1410 W BROADWAY ST SUITE 104 |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-6456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871577338 | Roger A. Marrero | Family Medicine | 1410 W Broadway St, Suite 108, Oviedo, FL 32765-6456 | 2005-11-30 |
| 1104284991 | Roger A. Marrero, M.d. Dba Oviedo Primary Care | Clinic/Center | 1410 W Broadway St, Suite 108, Oviedo, FL 32765-6456 | 2016-02-08 |
| 1578954145 | Anne Sexton | Physician Assistant | 1410 W Broadway St, Ste 205, Oviedo, FL 32765-6456 | 2015-02-18 |
| 1699041285 | Trevisani Oral Surgery | Clinic/Center | 1410 W Broadway St, Suite 204, Oviedo, FL 32765-6456 | 2012-03-28 |
| 1154650133 | Ka Yin Mccallister | Nurse Practitioner | 1410 W Broadway St, Suite 104, Oviedo, FL 32765-6456 | 2009-12-21 |
| 1275779290 | Womens Care Florida LLP | Obstetrics & Gynecology | 1410 W Broadway St, Oviedo, FL 32765-6456 | 2008-12-22 |
| 1447451307 | Tim D Chapman | Chiropractor | 1410 W Broadway St, Suite 101, Oviedo, FL 32765-6456 | 2007-05-29 |
| 1841395811 | Adventist Health System-sunbelt Inc Dba Florida Hospital | Pediatrics | 1410 W Broadway St, #104, Oviedo, FL 32765-6456 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215253471 | Stefanie Vincenzina Patrone | Pediatrics | 7455 Pinemire Drive, Nemours Childrens Primary Care, Oviedo, Oviedo, FL 32765-6094 | 2010-04-13 |
| 1184854176 | Sunshine State Pediatrics of Central Florida Inc | Pediatrics | 8000 Red Bug Lake Rd Ste 280, Oviedo, FL 32765-9267 | 2009-07-23 |
| 1316183460 | Oviedo Childrens Health Center LLC | Pediatrics | 1410 W Broadway St Ste 104, Oviedo, FL 32765-6537 | 2008-12-19 |
| 1174601371 | Maria L Miller | Pediatrics | 2959 Alafaya Trail, Ste 101, Oviedo, FL 32765 | 2006-11-02 |
| 1306823711 | Joseph F Savona | Pediatrics | 2572 W Sr 426, Ste 1048, Oviedo, FL 32765-8389 | 2005-12-28 |
| 1477544385 | Stuart H. Janousky | Pediatrics | 1890 W County Road 419 Ste 2010, Oviedo, FL 32765-4402 | 2005-10-31 |
| 1356334007 | Gigi Maniar | Pediatrics | 6012 Aloma Woods Blvd, Oviedo, FL 32765-9786 | 2005-08-29 |
| 1316941289 | Sharon M Dicristofaro | Pediatrics | 7455 Pinemire Dr, Oviedo, FL 32765-6094 | 2005-06-09 |
| 1508113895 | Carcamo Pediatrics, Inc | Pediatrics | 7560 Red Bug Lake Rd, Suite 1070, Oviedo, FL 32765-6591 | 2012-08-06 |
| 1720239247 | Nicole Cameron | Pediatrics | 2572 W State Road 426, Suite 1048, Oviedo, FL 32765-8389 | 2008-10-02 |
| Find all providers in OVIEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.