Provider Demographics
NPI:1093930166
Name:PRASAD, SAHANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAHANA
Middle Name:
Last Name:PRASAD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20251 MERRICK DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4960
Mailing Address - Country:US
Mailing Address - Phone:408-867-6913
Mailing Address - Fax:408-867-6914
Practice Address - Street 1:12860 SARATOGA SUNNYVALE RD
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4221
Practice Address - Country:US
Practice Address - Phone:408-867-1800
Practice Address - Fax:408-867-1801
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA469341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice