Provider Demographics
NPI:1437744331
Name:SAGGU, PRITPAL SINGH (PA-C)
Entity Type:Individual
Prefix:MR
First Name:PRITPAL
Middle Name:SINGH
Last Name:SAGGU
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46720 HOLLOW MOUNTAIN PL
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-2229
Mailing Address - Country:US
Mailing Address - Phone:703-401-5323
Mailing Address - Fax:
Practice Address - Street 1:611 S CARLIN SPRINGS RD STE 201
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-1078
Practice Address - Country:US
Practice Address - Phone:703-933-0700
Practice Address - Fax:703-933-0134
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110-007741363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical