Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT-192448 | PA |
Y | 2080P0214X | Pediatric Pulmonologist | P0485 | TX |
NPI | 1164660304 |
---|---|
Provider Name | Malvika Sagar |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76502-1814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2009 |
Last Update Date | 09/10/2020 |