Provider Demographics
NPI:1427240621
Name:SABESAN, VANI JANAKI (MD)
Entity type:Individual
Prefix:DR
First Name:VANI
Middle Name:JANAKI
Last Name:SABESAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:180 JOHN F KENNEDY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6641
Mailing Address - Country:US
Mailing Address - Phone:561-967-6500
Mailing Address - Fax:833-464-2037
Practice Address - Street 1:180 JOHN F KENNEDY DR STE 100
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6641
Practice Address - Country:US
Practice Address - Phone:561-967-6500
Practice Address - Fax:833-464-2037
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301097460207X00000X
NCRTL122384207X00000X
FLME130560207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0390380OtherBCBS PIN
MIM96990022Medicare PIN