Walia, Sanjiv

Walia, Sanjiv is an sole proprietor health care provider with primary practice located at 2215 Nebraska Ave Suite1F2, Fort Pierce FL 34950-4864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Walia, Sanjiv can be contacted via phone (772) 466-1977.

Contact Information

Primary practice address
2215 Nebraska Ave Suite1F2 Fort Pierce FL 34950-4864
Phone: (772) 466-1977
Fax: (772) 466-2433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME0042047 Florida

Profile Details

NPI number 1336253681
LBN Legal business name Walia, Sanjiv
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jul 11th, 2012 - 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 1336253681 NPPES
Florida MEDICAID 68316700

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