Basic Information
| Provider Information | |||||||||
| NPI: | 1083667562 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAHIJWANI | ||||||||
| FirstName: | ANIL | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1257 BRUCE B DOWNS BLVD | ||||||||
| Address2: | |||||||||
| City: | WESLEY CHAPEL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 335449261 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8139944141 | ||||||||
| FaxNumber: | 8139944646 | ||||||||
| Practice Location | |||||||||
| Address1: | 6919 N DALE MABRY HWY STE 210 | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336143972 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8135584900 | ||||||||
| FaxNumber: | 8135582155 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2006 | ||||||||
| LastUpdateDate: | 11/14/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | ME85487 | FL | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 266259100 | 05 | FL | MEDICAID | 57699 | 01 | FL | BCBS OF FLORIDA | OTHER |