DR. SANJAY K MADAN (NPI# 1912096645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912096645 |
| Entity Type | Individual |
| Full Name | DR. SANJAY K MADAN |
| Credential | MD |
| Practice Address |
3190 N Mcmullen Booth Rd Suite 201 Clearwater FL 33761-2013 |
| Practice Telephone | 7276692969 |
| Practice Fax Number | 7276697460 |
| Mailing Telephone | 7276692969 |
| Mailing Fax Number | 7276697460 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME0073402 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257472100 | 05 |
| Street Address |
3190 N MCMULLEN BOOTH RD SUITE 201 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972576296 | Patricia St. John | Obstetrics & Gynecology | 3190 N Mcmullen Booth Rd, Suite 200, Clearwater, FL 33761-2013 | 2006-02-08 |
| 1376077362 | Delia M Troncoso | Speech-Language Pathologist | 3190 N Mcmullen Booth Rd, Suite 100, Clearwater, FL 33761-2013 | 2017-04-17 |
| 1366720328 | Lalisse Mardassa Atkins | Audiologist | 3190 N Mcmullen Booth Rd, Clearwater, FL 33761-2013 | 2011-07-25 |
| 1255633137 | Ian-vi Naga Trinidad | Registered Nurse | 3190 N Mcmullen Booth Rd, Suite 200, Clearwater, FL 33761-2013 | 2010-11-25 |
| 1073836292 | Allhealth Primary Care LLC | Internal Medicine | 3190 N Mcmullen Booth Rd, Suite 201, Clearwater, FL 33761-2013 | 2010-03-02 |
| 1194047332 | Allhealth Primary Care LLC | Internal Medicine | 3190 N Mcmullen Booth Rd, Suite 201, Clearwater, FL 33761-2013 | 2010-02-15 |
| 1871723288 | Atta U Butt Pa | Internal Medicine | 3190 N Mcmullen Booth Rd, Suite 201, Clearwater, FL 33761-2013 | 2009-07-20 |
| 1508890625 | Jcs Medical Associates Plc | Legal Medicine | 3190 N Mcmullen Booth Rd, Suite 203, Clearwater, FL 33761 | 2006-07-11 |
| 1578591061 | Ivelisse Ruiz | Obstetrics & Gynecology | 3190 N Mcmullen Booth Rd, Suite 200, Clearwater, FL 33761-2013 | 2006-06-30 |
| 1275594475 | Maha Lewis | Family Medicine | 3190 N Mcmullen Booth Rd, Suite 203, Clearwater, FL 33761-2007 | 2006-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568923472 | A Plus Medcare LLC | Internal Medicine | 3190 N Mcmullen Booth Rd Ste 201, Clearwater, FL 33761-2013 | 2019-03-26 |
| 1306302260 | Evolution Medical Associates | Internal Medicine | 604 Druid Rd E, Clearwater, FL 33756-3912 | 2019-02-15 |
| 1114450939 | Brittany Worthington | Internal Medicine | 1800 Magnolia Dr, Clearwater, FL 33764-4658 | 2017-04-08 |
| 1982055711 | Lorynn Ashley Hunter | Internal Medicine | 4500 140th Ave N Ste 101, Clearwater, FL 33762-3848 | 2016-06-22 |
| 1033537105 | Daniel Lee Thorngren IIi | Internal Medicine | 5771 Roosevelt Blvd Bldg 200, Clearwater, FL 33760-3407 | 2014-04-04 |
| 1689992893 | Marivette Machado Cortes | Internal Medicine | 1106 Druid Rd S Ste 101, Clearwater, FL 33756-3800 | 2010-05-12 |
| 1730341199 | Elizabeth Anne Rommel | Internal Medicine | 3251 N Mcmullen Booth Rd Ste 104, Clearwater, FL 33761 | 2008-06-27 |
| 1669632394 | Ask Medical Group Pa | Internal Medicine | 2707 E Grand Reserve Cir Apt 1422, Clearwater, FL 33759-4908 | 2008-06-16 |
| 1528286127 | Maria Soledad Perea Barbosa | Internal Medicine | 1243 S Myrtle Ave, Clearwater, FL 33756-3469 | 2007-04-22 |
| 1699895292 | Miguel Fleischman | Internal Medicine | 1710 Drew St, Suite 2, Clearwater, FL 33755-6213 | 2007-03-29 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
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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.