MEDICARE: PADMINI SAGAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D0064586	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	232460YEVB	OTHER		MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043210412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PADMINI SAGAR MD

Provider Business Mailing Address
First Line	:	8114 HARFORD RD
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-5796
Country	:	US
Telephone Number	:	410-661-5800
Fax Number	:	410-665-4179

Provider Business Practice Location Address
First Line	:	8114 HARFORD RD
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-5796
Country	:	US
Telephone Number	:	410-661-5800
Fax Number	:	410-665-4179

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	11/16/2015

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Directions to “ PADMINI SAGAR MD” Practice Location

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