Bakshi, Sanjay

Bakshi, Sanjay is an individual health care provider with primary practice located at 1671 N Clyde Morris Blvd Ste 100 , Daytona Beach FL 32117-5590. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bakshi, Sanjay can be contacted via phone (386) 274-2977.

Contact Information

Primary practice address
1671 N Clyde Morris Blvd Ste 100 Daytona Beach FL 32117-5590
Phone: (386) 274-2977
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 195930 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME140861 Florida

Profile Details

NPI number 1932153228
LBN Legal business name Bakshi, Sanjay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jun 12th, 2024 - about 5 months 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 1932153228 NPPES
Florida MEDICAID 112736900

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