Provider Demographics
NPI:1144422999
Name:SAHA, RAJIB PRATIM (DO, MS)
Entity Type:Individual
Prefix:DR
First Name:RAJIB
Middle Name:PRATIM
Last Name:SAHA
Suffix:
Gender:M
Credentials:DO, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 COACHMAN DR
Mailing Address - Street 2:APARTMENT 1A
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-4715
Mailing Address - Country:US
Mailing Address - Phone:248-229-5625
Mailing Address - Fax:
Practice Address - Street 1:99 N BRICE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219
Practice Address - Country:US
Practice Address - Phone:866-751-5411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34. 0089782084S0012X
NY2190692084S0012X
MI51010167572084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine