Provider Demographics
NPI: | 1558642751 |
---|---|
Name: | SAGAR, DIPTI (MD) |
Entity Type: | Individual |
Prefix: | |
First Name: | DIPTI |
Middle Name: | |
Last Name: | SAGAR |
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: | 800 S VICTORIA AVE, L4615 |
Mailing Address - Street 2: | VCHCA - PHYSICIAN SERVICES |
Mailing Address - City: | VENTURA |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 93009-0003 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 805-677-5181 |
Mailing Address - Fax: | 805-677-5304 |
Practice Address - Street 1: | 300 HILLMONT AVE |
Practice Address - Street 2: | BLDG 340, STE 502 |
Practice Address - City: | VENTURA |
Practice Address - State: | CA |
Practice Address - Zip Code: | 93003-1651 |
Practice Address - Country: | US |
Practice Address - Phone: | 805-652-6222 |
Practice Address - Fax: | 805-652-6221 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2011-08-31 |
Last Update Date: | 2023-07-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | A128365 | 207RG0100X, 207R00000X |
NY | 390200000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
No | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |