Kimberly L Harter
SANJAY K MADAN, MD, PA


Address: 7211 N Dale Mabry Hwy, Suite 100, Tampa, FL 33614-2669
Phone: 8139332841

Kimberly L Harter (NPI# 1477546000, PAC ID# 6204862410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1477546000
PAC ID by PECOS 6204862410
Professional Enrollment ID I20191107002088
Full Name Kimberly L Harter
Organization Legal Name SANJAY K MADAN, MD, PA
Address 7211 N Dale Mabry Hwy
Suite 100
Tampa
FL 33614-2669
Phone Number 8139332841
Gender F
Credential PA
Graduation Year 1992
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 9436121803
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100075 ST JOSEPHS HOSPITAL

Other Locations

Address Phone Organization
3190 N Mcmullen Booth Rd, Suite 201, Clearwater, FL 33761-2013 7276692969 SANJAY K MADAN, MD, PA
7211 N Dale Mabry Hwy, Suite 100, Tampa, FL 33614-2669 8139332841 SANJAY K MADAN, MD, PA

Organization Information

Organization Legal Name SANJAY K MADAN, MD, PA
Physicians 1

Office Location

Street Address 7211 N DALE MABRY HWY
SUITE 100
City TAMPA
State FL
Zip 33614-2669

Physicians in the same location

Name Specialty Organization Address
Mitchell D Checkver Family Practice 7211 N Dale Mabry Hwy, Suite 100, Tampa, FL 33614-2669

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Competitor

Search similar physicians

City TAMPA
Zip Code 33614
Specialty PHYSICIAN ASSISTANT
City + Specialty TAMPA + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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