Healthcare Provider Details

I. General information

NPI: 1962044610
Provider Name (Legal Business Name): SAGAR KAMLESH CHOKSHI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2019
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 SPRING HILL AVE
MOBILE AL
36604-1405
US

IV. Provider business mailing address

2451 UNIVERSITY HOSPITAL DR RM 714
MOBILE AL
36617-2300
US

V. Phone/Fax

Practice location:
  • Phone: 251-415-1496
  • Fax:
Mailing address:
  • Phone: 251-415-1496
  • Fax: 251-665-8255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number3394
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: