Provider Demographics
NPI:1679737399
Name:SAHAI HERNANDEZ, AMOGH (MD)
Entity Type:Individual
Prefix:DR
First Name:AMOGH
Middle Name:
Last Name:SAHAI HERNANDEZ
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:URB MAYAGUEZ TERRACE 7083
Mailing Address - Street 2:ST. GAUDIER TEXIDOR
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682
Mailing Address - Country:US
Mailing Address - Phone:787-834-0422
Mailing Address - Fax:
Practice Address - Street 1:740 AVE HOSTOS
Practice Address - Street 2:MEDICAL CENTER PLAZA 301
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1539
Practice Address - Country:US
Practice Address - Phone:787-805-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62534208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation