SANJAY SURESH KAWANKAR


Address: 1750 S La Cienega Blvd, Los Angeles, CA 90035-4602
Phone: 3105595996

SANJAY SURESH KAWANKAR (NPI# 1689844813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689844813
Entity Type Individual
Full Name SANJAY SURESH KAWANKAR
Practice Address 1750 S La Cienega Blvd
Los Angeles
CA 90035-4602
Practice Telephone 3105595996
Practice Fax Number 3105595003
Mailing Telephone 3105595996
Mailing Fax Number 3105595003
Enumeration Date 2008-03-04
Last Update Date 2008-03-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
CP003404 DE Other Service Providers

Office Location

Street Address 1750 S LA CIENEGA BLVD,
City LOS ANGELES
State CA
Zip Code 90035-4602

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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90035

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Dataset Information

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.

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