Sanjay K Madan MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0073402 Issued in FL

Legal business name

SANJAY K MADAN MD PA

Practice address

3190 McMullen Booth Rd
Ste 201
Clearwater, FL 33761

Phone

(727) 669-2969

Fax

(727) 669-7460

NPI assigned

Nov 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sanjay K Madan, MD

Title

Owner

Phone

(727) 669-2969

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639244999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 MCMULLEN BOOTH RD",
            "address_2": "STE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-669-2969",
            "fax_number": "727-669-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 MCMULLEN BOOTH RD",
            "address_2": "STE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-669-2969",
            "fax_number": "727-669-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY K MADAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADAN",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-669-2969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0073402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "34721",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isis Sanders, RPH
• Karen Angela Sanders, OTR/L
• Maria Sandoval
• Victoria Sands, MD
• Tatiana Osma Sangosanya, ARNP
• Antony G Sankoorikal, MD
• Laura Sanso Pacheco, RBT
• Lazaro Esteban Santana Bubaire, DDS
• Jose Ramon Santana, M.D.
• Barbara Y Santelices

• Internal Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.