Provider Demographics
NPI:1235211624
Name:PALEKAR, SANJAY S (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:S
Last Name:PALEKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:436 EAST RIVER STREET
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035
Mailing Address - Country:US
Mailing Address - Phone:440-322-0780
Mailing Address - Fax:440-322-9094
Practice Address - Street 1:436 EAST RIVER STREET
Practice Address - Street 2:SUITE 8
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035
Practice Address - Country:US
Practice Address - Phone:440-322-0780
Practice Address - Fax:440-322-9094
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046073207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0456251Medicaid
OH0496001Medicare UPIN