Individual
SANJEEV BAGGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CENTRAL ARKANSAS VETERANS HEALTH CARE SYSTEM, 4300 WEST 7TH STREET, LITTLE ROCK, AR 72205-1000
(501) 257-1000
Mailing address
CENTRAL ARKANSAS VETERANS HEALTH CARE SYSTEM, 4300 WEST 7TH ST, LITTLE ROCK, AR 72205-1000
(501) 257-1000
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MD065337L
PA
2085R0202X
Diagnostic Radiology Physician
C53626
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD065337L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023711630002
—
PA
Enumeration date
10/02/2006
Last updated
07/29/2015
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