Provider Demographics
NPI:1720365166
Name:SAI SANTRAM INC
Entity Type:Organization
Organization Name:SAI SANTRAM INC
Other - Org Name:WELLCARE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HETAL
Authorized Official - Middle Name:G
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-514-0016
Mailing Address - Street 1:2026 ASHLEY OAKS CIR
Mailing Address - Street 2:UNIT 102
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6411
Mailing Address - Country:US
Mailing Address - Phone:352-514-0016
Mailing Address - Fax:813-991-5588
Practice Address - Street 1:2026 ASHLEY OAKS CIR
Practice Address - Street 2:UNIT 102
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6411
Practice Address - Country:US
Practice Address - Phone:352-514-0016
Practice Address - Fax:813-991-5588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9666111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty