Individual
JAGDEEP SABHARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-8900
Mailing address
4665 HASTINGS DR, BROOKFIELD, WI 53045-8158
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01073485A
IN
207RC0000X
Cardiovascular Disease Physician
36096670
IL
207RC0000X
Cardiovascular Disease Physician
Primary
62102-20
WI
207RI0011X
Interventional Cardiology Physician
01073485A
IN
207RI0011X
Interventional Cardiology Physician
036096670
IL
207RI0011X
Interventional Cardiology Physician
36096670
IL
207UN0901X
Nuclear Cardiology Physician
36096670
IL
2085B0100X
Body Imaging Physician
36096670
IL
2085R0204X
Vascular & Interventional Radiology Physician
36096670
IL
2085U0001X
Diagnostic Ultrasound Physician
36096670
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096670
—
IL
Enumeration date
07/13/2006
Last updated
10/26/2023
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