Provider Demographics
NPI:1306840210
Name:SESHADRI, NIRANJAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRANJAN
Middle Name:
Last Name:SESHADRI
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 1:8340 LAKEWOOD RANCH BLVD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5180
Mailing Address - Country:US
Mailing Address - Phone:941-907-0588
Mailing Address - Fax:941-373-6622
Practice Address - Street 1:8340 LAKEWOOD RANCH BLVD
Practice Address - Street 2:SUITE 350
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34202-5180
Practice Address - Country:US
Practice Address - Phone:941-907-0588
Practice Address - Fax:941-373-6622
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35077689207RI0011X
NM2004-0121207RI0011X
FLME89410207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL279144700Medicaid
FL95505OtherBCBS OF FL
FLAF122VMedicare PIN
I04319Medicare UPIN
FLAF122XMedicare PIN