Provider Demographics
NPI:1497335483
Name:SAGAHON, JOSHUA A
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:A
Last Name:SAGAHON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 41 BOX 6823
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09464-0069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:RAF LAKENHEATH
Practice Address - Street 2:UNITED KINGDOM
Practice Address - City:BRANDON
Practice Address - State:UNITED KINGDOM
Practice Address - Zip Code:IP279PN
Practice Address - Country:GB
Practice Address - Phone:755-239-3819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians