Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | C1-0000736 | DE |
NPI | 1720022460 |
---|---|
Provider Name | Vidya V Sagar |
First Address | Wilmington, DE 19804-0012 |
Second Address | Newark, DE 19713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000044601 | (05) | DE |
0074072000 | AMERHEALTH PROD. (01) | DE |
D01061 | (02) | DE |