Healthcare Provider Details

I. General information

NPI: 1053546390
Provider Name (Legal Business Name): SUJIT VIJAY SAKPAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2009
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 S CLIFF AVE STE 1100
SIOUX FALLS SD
57105-1057
US

IV. Provider business mailing address

911 E 20TH ST STE 510
SIOUX FALLS SD
57105-1042
US

V. Phone/Fax

Practice location:
  • Phone: 605-322-7350
  • Fax: 605-322-7351
Mailing address:
  • Phone: 605-322-7350
  • Fax: 605-322-7351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number10541
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number64393
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number10541
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: