Provider Demographics
NPI:1598083701
Name:PALLEGAR, SNEHA L (DO)
Entity Type:Individual
Prefix:
First Name:SNEHA
Middle Name:L
Last Name:PALLEGAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 BAYSHORE GARDENS PKWY
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-4706
Mailing Address - Country:US
Mailing Address - Phone:941-755-9550
Mailing Address - Fax:941-755-8520
Practice Address - Street 1:1811 BAYSHORE GARDENS PKWY
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-4706
Practice Address - Country:US
Practice Address - Phone:941-755-9550
Practice Address - Fax:941-755-8520
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0S12158207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine