Sanjiv Walia MD PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME0042047 Issued in FL

Legal business name

SANJIV WALIA MD PA

Practice address

2215 Nebraska Ave
Suite 1F2
Fort Pierce, FL 34950-4864

Phone

(772) 466-1977

Fax

(772) 466-2433

NPI assigned

Nov 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sanjiv Walia, M.D.NPI 1336253681

Title

President

Phone

(772) 466-1977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanjiv Walia, M.D.

  • Hematology & Oncology Physician
  • Fort Pierce, FL
  • NPI 1336253681
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1659658896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE",
            "address_2": "SUITE 1F2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504864",
            "telephone_number": "772-466-1977",
            "fax_number": "772-466-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE",
            "address_2": "SUITE 1F2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504864",
            "telephone_number": "772-466-1977",
            "fax_number": "772-466-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJIV WALIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "WALIA",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-466-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0042047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Sands, RN
• Rufus Sands
• Marshia K Sandy, PA-C
• Scott Allen Sanford, M.D.
• Patricia A Sanguedolce
• Ermionne Sanon
• Marnie L Sanon
• Catherine E. Lozada Santee, LMT
• Sonja T Santiago, LMT
• Lucelia Santos Avila, DDS

• Hematology & Oncology Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.