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NPI Code Detail

MEDICARE: SACHIN B NAGARKAR MD

MEDICARE: SACHIN B NAGARKAR 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
1174400000XSpecialistSN05532MI
22084P0800XPsychiatry Physician4301055532MI

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 : 1518982651
Entity Type Code : Individual
Provider Name (Legal Business Name) : SACHIN B NAGARKAR MD
Provider Business Mailing Address
First Line : 1055 MEDICAL PARK DR SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-3607
Country : US
Telephone Number : 800-968-6866
Fax Number : 616-532-7230
Provider Business Practice Location Address
First Line : 1055 MEDICAL PARK DR SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-3607
Country : US
Telephone Number : 800-968-6866
Fax Number : 616-532-7230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/10/2020

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