Individual
DR. PALLAVI SAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, ELL 2, BOSTON, MA 02114-2696
(617) 724-4207
(617) 726-8360
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220251
MA
2085R0202X
Diagnostic Radiology Physician
Primary
220251
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042231
—
MA
01
—
469220
TUFTS HEALTH PLAN
MA
01
—
J27238
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
08/25/2009
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