Provider Demographics
NPI:1225149388
Name:SHEELA SAGAR
Entity Type:Organization
Organization Name:SHEELA SAGAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEELA
Authorized Official - Middle Name:V
Authorized Official - Last Name:SAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-787-7970
Mailing Address - Street 1:2323 CURLEW RD
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-9330
Mailing Address - Country:US
Mailing Address - Phone:727-787-7970
Mailing Address - Fax:
Practice Address - Street 1:2323 CURLEW RD
Practice Address - Street 2:SUITE 6B
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-9330
Practice Address - Country:US
Practice Address - Phone:727-787-7970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0006142207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTIN