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Organization
SAGAR V.NOOTHETI,M.D.P.A
Active
Organization
SAGAR V.NOOTHETI,M.D.P.A
Active
Parent organization
NOOTHETI,SAGAR VIDYA,M.D
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOOTHETI,SAGAR VIDYA,M.D
Authorized official
MRS. ANITA RANDEV (OFFICE MANAGER)
(301) 345-0077
Entity
Organization
Contact information
Practice address
4700 BERWYN HOUSE RD, SUITE 108, COLLEGE PARK, MD 20740-2474
(301) 345-0077
(301) 345-4489
Mailing address
4700 BERWYN HOUSE RD, SUITE 108, COLLEGE PARK, MD 20740-2474
(301) 345-0077
(301) 345-4489
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D24694
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1345251700
—
MD
01
—
146085200
DEPT.OF LABOR
DC
01
—
23222
AETNA
MD
01
—
28320001
BC/FED
DC
01
—
60054
AETNA
MD
01
—
62308
CIGNA
MD
01
—
6480SV
BC/MD
MD
Enumeration date
03/17/2011
Last updated
03/17/2011
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