| Nandita Shankar Md Pa | |
|
8200 W Sunrise Blvd Suite #d6 Plantation FL 33322-5426 | |
| (954) 475-1735 | |
| (954) 475-1741 |
| Full Name | Nandita Shankar Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8200 W Sunrise Blvd, Plantation, Florida |
| Authorized Official Name and Position | Nandita Shankar (NEUROLOGIST) |
| Authorized Official Contact | 9544751735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nandita Shankar Md Pa 8200 W Sunrise Blvd Suite #d6 Plantation FL 33322-5426 Ph: (954) 475-1735 | Nandita Shankar Md Pa 8200 W Sunrise Blvd Suite #d6 Plantation FL 33322-5426 Ph: (954) 475-1735 |
| NPI Number | 1497868806 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 04/27/2012 |
| Medicare PECOS PAC ID | 6002070851 |
|---|---|
| Medicare Enrollment ID | O20120607000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497868806 | NPI | - | NPPES |
| 375985700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 305R00000X | Preferred Provider Organization | ME64830 (Florida) | Secondary |
| Provider Name | Nandita Shankar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568635548 PECOS PAC ID: 9638333487 Enrollment ID: I20120703000133 |
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