Active NPI
Shakuntala Janwadkar, MD, PA
- Pediatrics Physician
- Lake Mary, FL
National Provider Identifier
1821163635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0086339
- Legal business name
- SHAKUNTALA JANWADKAR, MD, PA
- Practice address
- 185 Waymont CT
Suite 111
Lake Mary, FL 32746-6700 - Phone
- (407) 328-7008
- Fax
- (407) 328-7524
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shakuntala Sandeep Janwadkar, M.D.
- Title
- Pediatrician
- Phone
- (407) 328-7008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0086339 | FL | Primary |
Addresses
Primary practice location
185 Waymont CT
Suite 111
Lake Mary, FL 32746-6700
Mailing address
185 Waymont CT
Suite 111
Lake Mary, FL 32746-6700
Phone (407) 328-7008
Other names 1
- Jan Care Pediatrics
National Provider Directory
National Provider DirectoryLocations
185 Waymont Ct
Ste 111
Lake Mary, FL 32746
Phone (407) 328-7008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821163635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 WAYMONT CT",
"address_2": "SUITE 111",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327466700",
"telephone_number": "407-328-7008",
"fax_number": "407-328-7524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 WAYMONT CT",
"address_2": "SUITE 111",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327466700",
"telephone_number": "407-328-7008",
"fax_number": "407-328-7524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAKUNTALA JANWADKAR, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JANWADKAR",
"authorized_official_first_name": "SHAKUNTALA",
"authorized_official_middle_name": "SANDEEP",
"authorized_official_title_or_position": "PEDIATRICIAN",
"authorized_official_telephone_number": "407-328-7008",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0086339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jan Care Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Mary, FL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.