Healthcare Provider Details

I. General information

NPI: 1164955944
Provider Name (Legal Business Name): AKSHAT SAGGAR D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 14TH ST SW
LARGO FL
33770-3133
US

IV. Provider business mailing address

201 14TH ST SW
LARGO FL
33770-3133
US

V. Phone/Fax

Practice location:
  • Phone: 732-593-7053
  • Fax:
Mailing address:
  • Phone: 732-593-7053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MB11126200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberOS15899
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: