Sagi, Venkata S

Sagi, Venkata S is an individual health care provider with primary practice located at 820 Prudential Dr Ste 112, Jacksonville FL 32207-8210. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Sagi, Venkata S can be contacted via phone (904) 396-5996.

Contact Information

Primary practice address
820 Prudential Dr Ste 112 Jacksonville FL 32207-8210
Phone: (904) 396-5996
Fax: (904) 398-2480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME94803 Florida
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X ME94803 Florida
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X ME94803 Florida

Profile Details

NPI number 1194760066
LBN Legal business name Sagi, Venkata S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Nov 17th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194760066 NPPES
Florida MEDICAID 275742700
Florida Other P00363743

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