Basic Information
| Provider Information | |||||||||
| NPI: | 1760423172 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAIGAL | ||||||||
| FirstName: | KANTA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15215 CORTEZ BLVD | ||||||||
| Address2: | |||||||||
| City: | BROOKSVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346136072 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3527990046 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1903 HIGHWAY 44 W | ||||||||
| Address2: | |||||||||
| City: | INVERNESS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344533801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523445500 | ||||||||
| FaxNumber: | 3523448900 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2006 | ||||||||
| LastUpdateDate: | 05/24/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 01045784A | IN | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207Q00000X | ME 95438 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | AD608Y | 01 | FL | MEDICARE | OTHER | 08298 | 01 | FL | BCBS | OTHER |