Healthcare Provider Details
I. General information
NPI: 1619664968
Provider Name (Legal Business Name): SAGUN ADHIKARI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/18/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
MARY WASHINGTON HOSPITAL 1001 SAM PERRY BLVD
FREDERICKSBURG VA
22401
US
IV. Provider business mailing address
MWHC INTERNAL MEDICINE GME 1001 SAM PERRY BLVD
FREDERICKSBURG VA
22401
US
V. Phone/Fax
- Phone: 540-741-1451
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 04-53574 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: