Provider Demographics
NPI:1245490184
Name:SAI, KARTHIKEYAN (MD)
Entity type:Individual
Prefix:DR
First Name:KARTHIKEYAN
Middle Name:
Last Name:SAI
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 1:10111 FOREST HILL BLVD RM NO255
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6108
Mailing Address - Country:US
Mailing Address - Phone:561-629-5025
Mailing Address - Fax:561-629-5034
Practice Address - Street 1:10111 FOREST HILL BLVD RM 255
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6141
Practice Address - Country:US
Practice Address - Phone:561-629-5035
Practice Address - Fax:561-629-5034
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109923207R00000X
FLME 109923207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003848900Medicaid
FLFA827XMedicare PIN