Provider Demographics
NPI:1508879818
Name:SAHAY, RAJIV (MD)
Entity Type:Individual
Prefix:MR
First Name:RAJIV
Middle Name:
Last Name:SAHAY
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 1:41 NAUTILUS DRIVE
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050
Mailing Address - Country:US
Mailing Address - Phone:609-978-8411
Mailing Address - Fax:609-978-1476
Practice Address - Street 1:41 NAUTILUS DRIVE
Practice Address - Street 2:SUITE 3
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050
Practice Address - Country:US
Practice Address - Phone:609-978-0474
Practice Address - Fax:609-597-6186
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05545900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4618700Medicaid
NJ4618700Medicaid
E70716Medicare UPIN