Potdar, Santosh

Potdar, Santosh is an individual health care provider with primary practice located at 17222 Hospital Blvd Ste 116 , Brooksville FL 34601-8925. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Potdar, Santosh can be contacted via phone (352) 877-4749.

Contact Information

Primary practice address
17222 Hospital Blvd Ste 116 Brooksville FL 34601-8925
Fax: (352) 283-8697
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35089317 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X ME114536 Florida
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 35089317 Ohio

Profile Details

NPI number 1790740041
LBN Legal business name Potdar, Santosh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 10th, 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 1790740041 NPPES
Florida MEDICAID 001623400
Florida MEDICAID 009381000

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