Healthcare Provider Details

I. General information

NPI: 1679536957
Provider Name (Legal Business Name): SHARON SAGEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 S ONEIDA ST SUITE 200
DENVER CO
80224-2549
US

IV. Provider business mailing address

6482 S JAMAICA CIR
ENGLEWOOD CO
80111-6626
US

V. Phone/Fax

Practice location:
  • Phone: 303-757-6418
  • Fax: 303-757-2209
Mailing address:
  • Phone: 303-792-3980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number38318
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: