Provider Demographics
NPI:1578212072
Name:SARKAR, SAURADEEP (MBBS, MCH)
Entity Type:Individual
Prefix:DR
First Name:SAURADEEP
Middle Name:
Last Name:SARKAR
Suffix:
Gender:M
Credentials:MBBS, MCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS STREET
Mailing Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL - NEUROSURGERY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-732-6600
Mailing Address - Fax:617-713-3050
Practice Address - Street 1:75 FRANCIS STREET
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL - NEUROSURGERY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-6600
Practice Address - Fax:617-713-3050
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2023-01-06
Deactivation Date:2022-12-27
Deactivation Code:
Reactivation Date:2023-01-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program