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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANJAY SURESH KAWANKAR

Active

SANJAY SURESH KAWANKAR is a Physical Therapist Assistant healthcare provider located in MONTEBELLO, California. NPI 1689844813 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · MONTEBELLO, CA

Registration Details

NPI Number
1689844813
Provider Type
Individual
Gender
Male
NPI Issued
Mar 4, 2008 (18.467933482371 yrs)
Last Updated
Feb 28, 2022
Licenses
C22146 (CA)
CP003404 (DE)

Practice Information

Address
2625 W BEVERLY BLVD
MONTEBELLO, CA, 906402309
Browse CA providers · Browse ZIP 90640
Phone
3237272887
Fax
3237272854
Primary Specialty
Physical Therapist Assistant
1744P3200X
Additional Specialty
Physical Therapist Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.