Provider Demographics
NPI:1497129951
Name:SASH HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:SASH HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-215-5363
Mailing Address - Street 1:5930 ROYAL LN STE E119
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-3849
Mailing Address - Country:US
Mailing Address - Phone:469-215-5363
Mailing Address - Fax:844-804-0653
Practice Address - Street 1:5930 ROYAL LN STE E119
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-3849
Practice Address - Country:US
Practice Address - Phone:469-215-5363
Practice Address - Fax:844-804-0653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-20
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207R00000X
TXN9264208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty