Provider Demographics
NPI:1205021250
Name:SAHARAN, SACHIN
Entity Type:Individual
Prefix:DR
First Name:SACHIN
Middle Name:
Last Name:SAHARAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44249 20TH ST W
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534
Mailing Address - Country:US
Mailing Address - Phone:661-723-1461
Mailing Address - Fax:661-942-7082
Practice Address - Street 1:44249 20TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-9353
Practice Address - Country:US
Practice Address - Phone:661-723-1461
Practice Address - Fax:661-942-7082
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56196122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD56196Medicaid