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NPI Code Detail

MEDICARE: DR. ROSALIE JANE HAGGE M.D.

MEDICARE:  DR. ROSALIE JANE HAGGE  M.D.
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
1207U00000XNuclear Medicine PhysicianG86720CA
2207U00000XNuclear Medicine Physician98-00887NC
3207U00000XNuclear Medicine PhysicianL3672TX
4207U00000XNuclear Medicine PhysicianMED101722MO
52085R0202XDiagnostic Radiology PhysicianG86720CA
62085R0202XDiagnostic Radiology Physician98-00887NC
72085R0202XDiagnostic Radiology PhysicianL3672TX
82085R0202XDiagnostic Radiology PhysicianMED101722MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265415830
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSALIE JANE HAGGE M.D.
Provider Business Mailing Address
First Line : 4860 Y ST
Second Line : SUITE 3100
City : SACRAMENTO
State : CA
Zip : 95817-2307
Country : US
Telephone Number : 916-703-2273
Fax Number : 916-703-2274
Provider Business Practice Location Address
First Line : 4860 Y ST
Second Line : SUITE 3100
City : SACRAMENTO
State : CA
Zip : 95817-2307
Country : US
Telephone Number : 916-703-2273
Fax Number : 916-703-2274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 09/11/2025

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Directions to “ DR. ROSALIE JANE HAGGE M.D.” Practice Location

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