Provider Demographics
NPI:1952407967
Name:SAHAJPAL, DEENESH T (MD)
Entity Type:Individual
Prefix:DR
First Name:DEENESH
Middle Name:T
Last Name:SAHAJPAL
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 1:3200 SW 34TH AVE
Mailing Address - Street 2:STE 502
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7456
Mailing Address - Country:US
Mailing Address - Phone:352-547-8220
Mailing Address - Fax:352-547-8221
Practice Address - Street 1:8550 NE 138TH LN
Practice Address - Street 2:BUILDING 400
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-8957
Practice Address - Country:US
Practice Address - Phone:352-751-1036
Practice Address - Fax:352-750-4698
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100115207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280335600Medicaid
FLAH943YOtherMEDICARE PTAN - MPS