Prabhaker Sardesai, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

MD014777E Issued in PA

Practice address

410 Cranberry St
Suite 120
Erie, PA 16507-1067

Phone

(814) 480-8040

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flagship Cardiac Vascular and Thoracic Surgery of Erie, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Erie, PA
  • NPI 1053373746
  NPD (past)
• Medical Diagnostic Services, LTD.

  • Diagnostic Radiology Physician
  • Erie, PA
  • NPI 1457389694
  NPD (past)
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700082633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CRANBERRY ST",
            "address_2": "SUITE 120",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071067",
            "telephone_number": "814-480-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CRANBERRY ST",
            "address_2": "SUITE 120",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071067",
            "telephone_number": "814-480-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDESAI",
        "first_name": "PRABHAKER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD014777E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bickel
• Jenna Saran, PSY.D.
• Manick Saran, D.O.
• John Joseph Sarbak, D.M.D.
• Joseph A Sarbak, LCSW
• Nancy Marie Sauers, DMD
• Maysun Savelli
• Rosalyn Marie Sayles
• Sara Scarberry, LPC
• Emily M Scavella, PA-C

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Erie, PA
• Providers in Erie, PA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.