Provider Demographics
NPI:1265452791
Name:SHEEL, SAURABH (MD)
Entity Type:Individual
Prefix:
First Name:SAURABH
Middle Name:
Last Name:SHEEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2857 HANNON HILL DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-8985
Mailing Address - Country:US
Mailing Address - Phone:850-999-2328
Mailing Address - Fax:850-320-6114
Practice Address - Street 1:1845 JACLIF CT STE B
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308
Practice Address - Country:US
Practice Address - Phone:850-999-2328
Practice Address - Fax:850-320-6114
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120697207RC0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07371284Medicaid
NEI18404Medicare UPIN
CO07371284Medicaid
NENA1456007Medicare PIN
COCOA103210Medicare PIN
COCO304377Medicare PIN
COCOA102651Medicare PIN
COCOA102180Medicare PIN