Individual
DR. SUBODH J. SAGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
450 CLARKSON AVE, MSC 52, BROOKLYN, NY 11203-2012
(718) 270-1585
(718) 270-3327
Mailing address
450 CLARKSON AVE, MSC 80, BROOKLYN, NY 11203-2012
(718) 613-8474
(718) 613-8476
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
171172
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01601725
—
NY
01
—
A400000328
MEDICARE PTAN
NY
Enumeration date
10/06/2005
Last updated
06/12/2015
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