Provider Demographics
NPI:1932196805
Name:SAUJANI, SARLA KARSANDAS (MD COL)
Entity Type:Individual
Prefix:DR
First Name:SARLA
Middle Name:KARSANDAS
Last Name:SAUJANI
Suffix:
Gender:F
Credentials:MD COL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 BAYSHORE BLVD
Mailing Address - Street 2:THE ATRIUM, # 905
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-7351
Mailing Address - Country:US
Mailing Address - Phone:813-254-1052
Mailing Address - Fax:
Practice Address - Street 1:7171 N DALE MABRY HWY
Practice Address - Street 2:STE 402
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2630
Practice Address - Country:US
Practice Address - Phone:813-933-3324
Practice Address - Fax:813-932-4357
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16872208600000X
FLME99756208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL148PFOtherBCBSFL
FL002295000Medicaid
FLDE272YMedicare PIN
FL148PFOtherBCBSFL