Provider Demographics
NPI:1083604748
Name:SENSARMA, SUGATA (MD, MBBS)
Entity Type:Individual
Prefix:
First Name:SUGATA
Middle Name:
Last Name:SENSARMA
Suffix:
Gender:M
Credentials:MD, MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2027
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52244-2027
Mailing Address - Country:US
Mailing Address - Phone:319-339-3855
Mailing Address - Fax:319-358-2791
Practice Address - Street 1:1920 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-7106
Practice Address - Country:US
Practice Address - Phone:270-442-3647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN47455207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
HP50699OtherHEALTH PARTNERS
1043621OtherPREFERRED ONE
4800420OtherMEDICA HEALTH PLANS
226G6SEOtherBLUE CROSS BLUE SHIELD
081635300OtherMEDICAL ASSISTANCE
132821OtherU CARE
6D053CEOtherBLUE CROSS BLUE SHIELD
2340115OtherARAZ GROUP AMERICAS PPO
132821OtherU CARE