Provider Demographics
NPI:1497086896
Name:ASIS K SAHA M D P A
Entity Type:Organization
Organization Name:ASIS K SAHA M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-846-3426
Mailing Address - Street 1:201 HILDA ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-2320
Mailing Address - Country:US
Mailing Address - Phone:407-846-3426
Mailing Address - Fax:407-846-6701
Practice Address - Street 1:201 HILDA ST
Practice Address - Street 2:SUITE 10
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2320
Practice Address - Country:US
Practice Address - Phone:407-846-3426
Practice Address - Fax:407-846-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-25
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD59589Medicare UPIN