Basic Information
| Provider Information | |||||||||
| NPI: | 1235105750 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAGGAR | ||||||||
| FirstName: | SHAGUN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 JOHN Q HAMMONS DR STE 400 | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537171967 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6084102700 | ||||||||
| FaxNumber: | 6084102905 | ||||||||
| Practice Location | |||||||||
| Address1: | 1200 JOHN Q HAMMONS DR STE 400 | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537171967 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6084102700 | ||||||||
| FaxNumber: | 6084102905 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2006 | ||||||||
| LastUpdateDate: | 12/03/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RX0202X | 61397-20 | WI | N | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 207RH0002X | 61397-20 | WI | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1235105750 | 05 | WI | MEDICAID |