Provider Demographics
NPI:1679985436
Name:SAHAI SURGICAL SPECIALISTS, PLC
Entity Type:Organization
Organization Name:SAHAI SURGICAL SPECIALISTS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROHIT
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-646-8440
Mailing Address - Street 1:963 N MCQUEEN RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-8149
Mailing Address - Country:US
Mailing Address - Phone:480-646-8440
Mailing Address - Fax:480-646-8441
Practice Address - Street 1:963 N MCQUEEN RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-8149
Practice Address - Country:US
Practice Address - Phone:480-646-8440
Practice Address - Fax:480-646-8441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36591174400000X
AZ41771208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ231269Medicaid
AZ438758Medicaid
AZ231269Medicaid
AZZ117941Medicare PIN