Provider Demographics
NPI:1275784571
Name:SANJAY KAMAT DO PC
Entity Type:Organization
Organization Name:SANJAY KAMAT DO PC
Other - Org Name:BUCKS EYE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:D
Authorized Official - Last Name:KAMAT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-493-7330
Mailing Address - Street 1:301 OXFORD VALLEY RD
Mailing Address - Street 2:SUITE 801 A
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7706
Mailing Address - Country:US
Mailing Address - Phone:215-493-7330
Mailing Address - Fax:215-493-7845
Practice Address - Street 1:301 OXFORD VALLEY RD
Practice Address - Street 2:SUITE 801 A
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7706
Practice Address - Country:US
Practice Address - Phone:215-493-7330
Practice Address - Fax:215-493-7845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010406L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7017357OtherAETNA
PA2071070OtherHIGHMARK BLUE SHIELD
PA3543497000OtherIBC
PA7017357OtherAETNA
NJ168273Medicare PIN