Provider Demographics
NPI:1306053392
Name:SAGGU, HARKIRAT SINGH (MD)
Entity type:Individual
Prefix:
First Name:HARKIRAT
Middle Name:SINGH
Last Name:SAGGU
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 1:1420 E ROSEVILLE PKWY
Mailing Address - Street 2:SUITE 140-217
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3078
Mailing Address - Country:US
Mailing Address - Phone:916-215-1757
Mailing Address - Fax:
Practice Address - Street 1:2600 STOCKTON BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2210
Practice Address - Country:US
Practice Address - Phone:916-452-1431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1169702084P0800X, 2084P0800X
IN01069457A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000719724OtherANTHEM
IN201021460Medicaid
IN000000712559OtherANTHEM PIN
IN9681674OtherAETNA
IN3423817OtherCIGNA
IN000000719724OtherANTHEM
IN150074Medicare PIN