Provider Demographics
NPI:1902997216
Name:SAHGAL, ANITA RAM (PSYD)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:RAM
Last Name:SAHGAL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9155 PERSHORE PLACE
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-4176
Mailing Address - Country:US
Mailing Address - Phone:321-591-6538
Mailing Address - Fax:
Practice Address - Street 1:700 N HIATUS RD
Practice Address - Street 2:#213
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-5206
Practice Address - Country:US
Practice Address - Phone:954-431-0411
Practice Address - Fax:954-431-0413
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7382103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical