Provider Demographics
NPI:1699020172
Name:SAH, ASHA KUMARI
Entity Type:Individual
Prefix:
First Name:ASHA
Middle Name:KUMARI
Last Name:SAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ASHA
Other - Middle Name:KUMARI
Other - Last Name:SAH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:5718 CATALPA AVE
Mailing Address - Street 2:APT#3R
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-4919
Mailing Address - Country:US
Mailing Address - Phone:347-863-6058
Mailing Address - Fax:
Practice Address - Street 1:5718 CATALPA AVE
Practice Address - Street 2:APT#3R
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-4919
Practice Address - Country:US
Practice Address - Phone:347-863-6058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 658233163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse