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Contact Information

SANJIVA M LUTCHMEDIAL, MD
430 MORTON PLANT ST STE 405
CLEARWATER, FL33756
 Phone: 727-443-0611
 Fax: 727-461-5493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SANJIVA M LUTCHMEDIAL · (Male)

NPI Number 1033379649
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2008
Last updated 04/16/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME133652
  • VA License # 0101254085
Hospital affiliation(s)
  • MEASE COUNTRYSIDE HOSPITAL - (Acute Care)
    3231 MCMULLEN BOOTH RD
    SAFETY HARBOR, FL 34695
  • MEASE HOSPITAL DUNEDIN - (Acute Care)
    601 MAIN ST
    DUNEDIN, FL 34698
  • MORTON PLANT HOSPITAL - (Acute Care)
    300 PINELLAS ST
    CLEARWATER, FL 33756
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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