Provider Demographics
NPI:1720035538
Name:IRVIN SAHNI, M.D. PA.
Entity Type:Organization
Organization Name:IRVIN SAHNI, M.D. PA.
Other - Org Name:IRVIN SAHNI, M.D., PA.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:IRVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:830-379-8800
Mailing Address - Street 1:1006 E KINGSBURY ST STE 240
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-2118
Mailing Address - Country:US
Mailing Address - Phone:830-379-8800
Mailing Address - Fax:830-372-1600
Practice Address - Street 1:55 GRUENE PARK DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2459
Practice Address - Country:US
Practice Address - Phone:830-379-8800
Practice Address - Fax:830-372-1600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3640174400000X
TXL1250208VP0014X
TX774561363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0084KCOtherBCBS PROVIDER NO.
TX161283001Medicaid
TX0084KCOtherBCBS PROVIDER NO.
TX5843880001Medicare NSC
TX1154373074Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE
TX0084KCOtherBCBS PROVIDER NO.