Provider Demographics
NPI:1144204959
Name:SACHS, HOWARD ALAN (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:ALAN
Last Name:SACHS
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:PO BOX 378
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44871-0378
Mailing Address - Country:US
Mailing Address - Phone:419-626-6161
Mailing Address - Fax:
Practice Address - Street 1:3301 NEW MEXICO AVE NW
Practice Address - Street 2:STE 106
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3622
Practice Address - Country:US
Practice Address - Phone:202-966-0606
Practice Address - Fax:202-244-6757
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1355962085R0202X
DCMD139702085R0202X
FLME 392302085R0202X
WAMD000437972085R0202X
MDD00314992085R0202X
VAO1010420412085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
470001526OtherRR MEDICARE
MD399701400Medicaid
300135372OtherRR MEDICARE
DC00B418O31Medicare PIN
DC007439W30Medicare PIN
C88381Medicare UPIN
MD399701400Medicaid
470001526OtherRR MEDICARE
MD575P186HMedicare PIN