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Individual

MEENOR SAGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME75928
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME75928
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261363800
FL
01
300123388
RR MEDICARE
FL
01
58590
BCBS OF FLORIDA
FL
01
58590U
MEDICARE PTAN OHRI
FL
01
PP578
MEDICARE PTAN OHMG
FL
Enumeration date
07/07/2005
Last updated
03/28/2023
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