Provider Demographics
NPI:1770746794
Name:PATEL, SAAGAR (MD)
Entity type:Individual
Prefix:DR
First Name:SAAGAR
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W US 60
Mailing Address - Street 2:PO BOX 147
Mailing Address - City:IRVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40146
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:205 W US 60
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:KY
Practice Address - Zip Code:40146-0147
Practice Address - Country:US
Practice Address - Phone:270-547-7161
Practice Address - Fax:270-547-7163
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011008012207Q00000X
KY44694207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00968318OtherRAILROAD MEDICARE
KY7100170390Medicaid
000000723358OtherANTHEM
000000723358OtherANTHEM