Provider Demographics
NPI:1932171881
Name:SEN, SANJAY K (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:K
Last Name:SEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:531 N FRANKLIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SHAMOKIN
Mailing Address - State:PA
Mailing Address - Zip Code:17872-6754
Mailing Address - Country:US
Mailing Address - Phone:570-648-0000
Mailing Address - Fax:570-648-0896
Practice Address - Street 1:531 N FRANKLIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:SHAMOKIN
Practice Address - State:PA
Practice Address - Zip Code:17872-6754
Practice Address - Country:US
Practice Address - Phone:570-648-0000
Practice Address - Fax:570-648-0896
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2015-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD072254L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA043776Medicare PIN
PAH28405Medicare UPIN