SANJAY MARDOLKAR M.D. NPI 1346237385

NPI Information

NPI: 1346237385
Provider Name: SANJAY MARDOLKAR, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
4439 STATE ROUTE 159 STE G10
CHILLICOTHE, OH
ZIP 45601
Phone: (740) 779-4300
Get Directions

Sanjay Mardolkar, M.D. is a pediatrics in Chillicothe, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Sanjay Mardolkar, M.D. NPI is 1346237385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4439 STATE ROUTE 159 STE G10
CHILLICOTHE, OH
ZIP 45601-708
Phone: (740) 779-4300
Fax: (740) 779-4391

The enumeration date for this NPI number is 10/4/2005 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		2015-01700	NORTH CAROLINA	No
2	2080A0000X	Pediatrics	Adolescent Medicine	19900	WEST VIRGINIA	No
3	2080A0000X	Pediatrics	Adolescent Medicine	35077587	OHIO	No
4	208000000X	Pediatrics		35.077587	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2143040	MEDICAID	OHIO
2	6700083000	MEDICAID	WEST VIRGINIA
3	1346237385	MEDICAID	NORTH CAROLINA
4	NC2514	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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