Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 24558 | AL |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME78128 | FL |
N | 207RI0011X | Interventional Cardiology | 24558 | AL |
NPI | 1093701120 |
---|---|
Provider Name | Sanjeev Saxena |
First Address | Fort Payne, AL 35968-1613 |
Second Address | Lake Worth, FL 33461-6609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2005 |
Last Update Date | 13/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
051551802 | (05) | AL |
060069630 | RAILROAD MEDICARE (01) | AL |
51511919 | BCBS (01) | AL |
H44562 | (02) |