Organization
SAGAR V.NOOTHETI,M.D.P.A
Active
Parent organization
NOOTHETI,SAGAR VIDYA,M.D
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOOTHETI,SAGAR VIDYA,M.D
Authorized official
MRS. ANITA RANDEV (OFFICE MANAGER)
(301) 345-0077
Entity
Organization
Contact information
Practice address
4700 BERWYN HOUSE RD, SUITE 108, COLLEGE PARK, MD 20740-2474
(301) 345-0077
(301) 345-4489
Mailing address
4700 BERWYN HOUSE RD, SUITE 108, COLLEGE PARK, MD 20740-2474
(301) 345-0077
(301) 345-4489
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D24694
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1345251700
—
MD
01
—
146085200
DEPT.OF LABOR
DC
01
—
23222
AETNA
MD
01
—
28320001
BC/FED
DC
01
—
60054
AETNA
MD
01
—
62308
CIGNA
MD
01
—
6480SV
BC/MD
MD
Enumeration date
03/17/2011
Last updated
03/17/2011
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