Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 26730 | WI |
NPI | 1023078383 |
---|---|
Provider Name | Ms. Kiran B Sagar |
First Address | Milwaukee, WI 53201-2040 |
Second Address | Milwaukee, WI 53215-3669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 31/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30635000 | (05) | WI |
B85212 | (02) |