Provider Demographics
NPI:1285631499
Name:SAGI, HENRY CLAUDE (MD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:CLAUDE
Last Name:SAGI
Suffix:
Gender:M
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:PO BOX 636256
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:513-585-5506
Mailing Address - Fax:
Practice Address - Street 1:234 GOODMAN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2364
Practice Address - Country:US
Practice Address - Phone:513-475-8690
Practice Address - Fax:513-475-7257
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60580578207X00000X, 207XX0801X
OH35133774207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1285631499Medicaid
FLH01777Medicare UPIN
FL4768ZMedicare PIN
FL47268OtherBC/BS
FL7345255OtherAETNA
FL262540OtherAVMED
FL257257500Medicaid
FL3617645OtherCIGNA