Provider Demographics
NPI:1881384030
Name:SAGGI, AMARDEEP SINGH
Entity type:Individual
Prefix:MR
First Name:AMARDEEP
Middle Name:SINGH
Last Name:SAGGI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 NORTH STATE STREET
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216
Mailing Address - Country:US
Mailing Address - Phone:347-296-7077
Mailing Address - Fax:
Practice Address - Street 1:786 LAKELAND DRIVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216
Practice Address - Country:US
Practice Address - Phone:601-984-6800
Practice Address - Fax:601-984-6811
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program