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Individual
SAGAR VIDYA NOOTHETI
Active
Individual
SAGAR VIDYA NOOTHETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D24694
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134251700
—
MD
01
—
146085200
DEPT OF LABOR
—
01
—
23222
AETNA
—
01
—
28320001
BC/FED
—
01
—
60054
AETNA
—
01
—
62308
CIGNA
—
01
—
6480SV
BC/MD
—
Enumeration date
08/25/2006
Last updated
07/27/2010
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