Provider Demographics
NPI:1235105750
Name:SAGGAR, SHAGUN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAGUN
Middle Name:
Last Name:SAGGAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 JOHN Q HAMMONS DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-1967
Mailing Address - Country:US
Mailing Address - Phone:608-410-2700
Mailing Address - Fax:608-410-2905
Practice Address - Street 1:1200 JOHN Q HAMMONS DR STE 400
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1967
Practice Address - Country:US
Practice Address - Phone:608-410-2700
Practice Address - Fax:608-410-2905
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI61397-20207RX0202X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1235105750Medicaid
3010761OtherMVP
NH30206729Medicaid
VT1013583Medicaid
NH30206729Medicaid