Healthcare Provider Details

I. General information

NPI: 1073772067
Provider Name (Legal Business Name): KUNAL SAIGAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2008
Last Update Date: 07/16/2020
Certification Date: 07/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5370 UNIVERSITY PKWY
SARASOTA FL
34243-5800
US

IV. Provider business mailing address

5370 UNIVERSITY PKWY
SARASOTA FL
34243-5800
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-7575
  • Fax: 941-917-7576
Mailing address:
  • Phone: 941-917-7575
  • Fax: 941-917-7576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License NumberME113123
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: