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SANJAY K MADAN MD PA
NPI 1639244999
Internal Medicine in Clearwater, FL

Active since November 22, 2006CLIA 10D0992444 · Waiver
3190 MCMULLEN BOOTH RD, STE 201, CLEARWATER, FL 33761(727) 669-2969(727) 669-7460 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sanjay K Madan Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANJAY K MADAN MD PA (NPI 1639244999) is a healthcare organization registered as an internal medicine in Clearwater, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Sanjay K Madan, Owner, as its authorized official.

NPPES Registry Identity

NPI1639244999
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSANJAY K MADAN MD PA
Location Address3190 MCMULLEN BOOTH RD, STE 201Clearwater, FL 33761
Mailing Address3190 Mcmullen Booth Rd, Ste 201Clearwater, FL 33761 · (727) 669-2969 · Fax (727) 669-7460
Phone(727) 669-2969
Fax(727) 669-7460
Organization SubpartNo
Authorized OfficialSanjay K MadanOwner · (727) 669-2969
Enumeration DateNovember 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639244999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0073402
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3190 MCMULLEN BOOTH RD, Clearwater, FL 33761
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Other Identifiers 1

Other34721FL · Bc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0992444

Sanjay K Madan MD PA · Clearwater, FL
Active · expires Oct 16, 2027
CLIA Number10D0992444
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorSanjay K. Madan MD
Laboratory Phone(727) 669-2969
Laboratory LocationSanjay K Madan MD PA3190 Mcmullen Booth Rd, Clearwater, FL 33761
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjay K Madan MD PA's NPI number?

The NPI number for Sanjay K Madan MD PA is 1639244999. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is Sanjay K Madan MD PA located?

Sanjay K Madan MD PA is located at 3190 Mcmullen Booth Rd Ste 201, Clearwater, FL 33761. The listed phone number is (727) 669-2969.

What is Sanjay K Madan MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Sanjay K Madan MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0992444) is associated with this NPI, valid through October 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sanjay K Madan MD PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.