Mardolkar, Sanjay
Mardolkar, Sanjay is an individual health care provider with primary practice located at 4439 State Route 159 Ste G10 , Chillicothe OH 45601-7708. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mardolkar, Sanjay can be contacted via phone (740) 779-4300.Contact Information
Primary practice address
4439 State Route 159 Ste G10
Chillicothe OH 45601-7708
Phone: (740) 779-4300
Fax: (740) 779-4391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2015-01700 | North Carolina |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 19900 | West Virginia |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 35077587 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.077587 | Ohio |
Profile Details
| NPI number | 1346237385 |
|---|---|
| LBN Legal business name | Mardolkar, Sanjay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346237385 | NPPES |
| North Carolina | MEDICAID | 1346237385 | |
| North Carolina | MEDICAID | NC2514 | |
| North Carolina | MEDICAID | 2143040 | |
| North Carolina | MEDICAID | 6700083000 |
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