Provider Demographics
NPI:1891877247
Name:SAGAR V. VALLABH M.D. P.C.
Entity Type:Organization
Organization Name:SAGAR V. VALLABH M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DELEGATED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:SAGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLABH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-983-0223
Mailing Address - Street 1:2501 SHENANGO VALLEY FWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-2536
Mailing Address - Country:US
Mailing Address - Phone:724-983-0223
Mailing Address - Fax:724-983-1319
Practice Address - Street 1:2501 SHENANGO VALLEY FWY
Practice Address - Street 2:SUITE 3
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-2536
Practice Address - Country:US
Practice Address - Phone:724-983-0223
Practice Address - Fax:724-983-1317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty