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Individual

SAURABH BAGHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
311 W 14TH ST, PUEBLO, CO 81003-2710
(719) 595-7585
(719) 595-7589
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
53691
CO
207R00000X
Internal Medicine Physician
MD60732585
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52102751
CO
01
P01353385
RAILROAD MEDICARE
CO
Enumeration date
01/16/2013
Last updated
11/12/2018
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