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Individual

VIVEK S SAHGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., FACP

Contact information

Practice address
1201 MICHIGAN AVE, SUITE 170, LOGANSPORT, IN 46947-1580
(574) 722-4331
(574) 722-6856
Mailing address
1201 MICHIGAN AVE, SUITE 170, LOGANSPORT, IN 46947-1580
(574) 722-4331
(574) 722-6856

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01073427A
IN
207RI0200X
Infectious Disease Physician
01073427A
IN
207RI0200X
Infectious Disease Physician
0426739
KS
207RI0200X
Infectious Disease Physician
112358
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000852931
ANTHEM
IN
05
100290230D
KS
01
104950
MEDICARE LEAVENWORTH INDIVIDUAL
KS
01
121596412
MOLINA INDIVIDUAL
MO
01
1215964127
UNICARE
KS
05
201209650
IN
05
209722024
MO
01
243233
COVENTRY
KS
01
25244031
BCBSKC
MO
01
5188509
AETNA
KS
01
MA1199001
MEDICARE
MO
01
P00230613
MEDICARE RAILROAD
KS
01
P01283806
RAILROAD MEDICARE
IN
Enumeration date
06/27/2006
Last updated
04/30/2014
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