Mahajan, Suneel L

Mahajan, Suneel L is an individual health care provider with primary practice located at 5742 Booth Rd Suite A, Jacksonville FL 32207-5982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mahajan, Suneel L can be contacted via phone (904) 739-7779.

Contact Information

Primary practice address
5742 Booth Rd Suite A Jacksonville FL 32207-5982
Phone: (904) 739-7779
Fax: (904) 739-7771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME 42191 Florida

Profile Details

NPI number 1528063856
LBN Legal business name Mahajan, Suneel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jun 7th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528063856 NPPES
Georgia MEDICAID 914407571A
Georgia Other 4047692
Georgia Other 15785
Georgia Other 203539
Georgia MEDICAID 067558000

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