Individual
MANASA SAGARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2160 S 1ST AVE STE 167, MAYWOOD, IL 60153-3328
(708) 216-3323
Mailing address
550 S JACKSON ST FL ST3, LOUISVILLE, KY 40202-1622
(502) 852-5666
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036.163494
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
05/20/2023
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