Provider Demographics
NPI:1194754309
Name:SADDI, VENUGOPAL R (MD)
Entity type:Individual
Prefix:
First Name:VENUGOPAL
Middle Name:R
Last Name:SADDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:VENU
Other - Middle Name:
Other - Last Name:SADDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:380R MERRIMACK ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844
Mailing Address - Country:US
Mailing Address - Phone:978-689-2510
Mailing Address - Fax:978-689-3510
Practice Address - Street 1:380R MERRIMACK ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844
Practice Address - Country:US
Practice Address - Phone:978-689-2510
Practice Address - Fax:978-689-3510
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA223439207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H63422Medicare UPIN