Mohanty, Sanjay

Mohanty, Sanjay is an individual health care provider with primary practice located at 550 University Blvd Ste 1295 , Indianapolis IN 46202-5149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Mohanty, Sanjay can be contacted via phone (317) 944-0931.

Contact Information

Primary practice address
550 University Blvd Ste 1295 Indianapolis IN 46202-5149
Phone: (317) 944-0931
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301099184 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 01082407A Indiana
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 01082407A Indiana

Profile Details

NPI number 1790071280
LBN Legal business name Mohanty, Sanjay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2011
Last updated Aug 14th, 2023 - about last year

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 1790071280 NPPES
Indiana Other 233690095 MEDICARE PTAN
Indiana MEDICAID 300027159 MEDICARE PTAN

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