Provider Demographics
NPI:1811923188
Name:SAHGAL, PUNEET (MD)
Entity type:Individual
Prefix:
First Name:PUNEET
Middle Name:
Last Name:SAHGAL
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 1:75 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872-1561
Mailing Address - Country:US
Mailing Address - Phone:732-238-3773
Mailing Address - Fax:732-238-3622
Practice Address - Street 1:75 MAIN ST
Practice Address - Street 2:
Practice Address - City:SAYREVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08872-1561
Practice Address - Country:US
Practice Address - Phone:732-238-3773
Practice Address - Fax:732-238-3622
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA64068207RI0011X
NJ25MA06406800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7192606Medicaid
NJ892905RHMMedicare ID - Type Unspecified
NJ7192606Medicaid