Provider Demographics
NPI:1689803686
Name:SARAWAGI, MONICA (MBBS)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:SARAWAGI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:REGIONAL WEST PHYSICIAN CLINIC
Mailing Address - Street 2:1275 SAGE STREET
Mailing Address - City:GERING
Mailing Address - State:NE
Mailing Address - Zip Code:69341
Mailing Address - Country:US
Mailing Address - Phone:308-436-2101
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:REGIONAL WEST PHYSICIAN CLINIC
Practice Address - Street 2:1275 SAGE STREET
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341
Practice Address - Country:US
Practice Address - Phone:308-436-2101
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27012207Q00000X, 207QG0300X
AZ56941207QG0300X
CAC176159207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine