Provider Demographics
NPI:1972738540
Name:DOWNTOWN MEDICAL LLC
Entity Type:Organization
Organization Name:DOWNTOWN MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SONNY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAGGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-436-9238
Mailing Address - Street 1:916 OLIVE ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63101-1459
Mailing Address - Country:US
Mailing Address - Phone:314-436-9238
Mailing Address - Fax:
Practice Address - Street 1:916 OLIVE ST
Practice Address - Street 2:SUITE 312
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63101-1459
Practice Address - Country:US
Practice Address - Phone:314-436-9238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty