Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 10541 | SD |
N | 204F00000X | Transplant Surgeon | 64393 | WI |
N | 207RC0200X | Critical Care Medicine | 10541 | SD |
NPI | 1053546390 |
---|---|
Provider Name | Dr. Sujit Vijay Sakpal |
First Address | Sioux Falls, SD 57105-1057 |
Second Address | Sioux Falls, SD 57105-1057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2009 |
Last Update Date | 25/08/2017 |