Provider Demographics
NPI:1487663563
Name:SSR CONSULTANTS INC
Entity Type:Organization
Organization Name:SSR CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZDAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-251-8650
Mailing Address - Street 1:3650 NW 82ND AVE STE PH501
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6658
Mailing Address - Country:US
Mailing Address - Phone:305-251-8650
Mailing Address - Fax:305-251-8913
Practice Address - Street 1:3650 NW 82ND AVE STE PH501
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6658
Practice Address - Country:US
Practice Address - Phone:305-251-8650
Practice Address - Fax:305-251-8913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-06
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 81109208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0137588OtherGHI
FLDG1507OtherRAILROAD MEDICARE
FLDG1507OtherRAILROAD MEDICARE