Provider Demographics
NPI:1124552328
Name:BAPAT, SAGAR PRADEEP (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SAGAR
Middle Name:PRADEEP
Last Name:BAPAT
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9321 DISCOVERY WAY
Mailing Address - Street 2:APT. F
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-0096
Mailing Address - Country:US
Mailing Address - Phone:706-631-6230
Mailing Address - Fax:
Practice Address - Street 1:9321 DISCOVERY WAY
Practice Address - Street 2:APT. F
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-0096
Practice Address - Country:US
Practice Address - Phone:706-631-6230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program