Provider Demographics
NPI:1578596235
Name:SAGGAR, SONNY S (MD)
Entity Type:Individual
Prefix:DR
First Name:SONNY
Middle Name:S
Last Name:SAGGAR
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 1:232 S WOODS MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3417
Mailing Address - Country:US
Mailing Address - Phone:314-205-6990
Mailing Address - Fax:314-205-6073
Practice Address - Street 1:232 S WOODS MILL RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3417
Practice Address - Country:US
Practice Address - Phone:314-205-6990
Practice Address - Fax:314-205-6073
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036159352207P00000X
MO2000160387207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL495133656Medicaid
MO208433201Medicaid
MO208433219Medicaid
IL495133656Medicaid
MOH31189Medicare UPIN
MO931745198Medicare PIN
MO036013212Medicare PIN
MO208433201Medicaid
MOMA1371Medicare PIN
MO042013213Medicare PIN
MO001014748Medicare PIN