Vasani, Sugam B

Vasani, Sugam B is an individual health care provider with primary practice located at 527 Medical Park Dr Ste 202 , Bridgeport WV 26330-9009. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Vasani, Sugam B can be contacted via phone (304) 933-3800.

Contact Information

Primary practice address
527 Medical Park Dr Ste 202 Bridgeport WV 26330-9009
Phone: (304) 933-3800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP2-0035874 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP10028685 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 24781 West Virginia

Profile Details

NPI number 1952507972
LBN Legal business name Vasani, Sugam B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Apr 5th, 2022 - about 4 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 1952507972 NPPES
West Virginia MEDICAID 3810023280

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