Provider Demographics
NPI:1780849042
Name:SAINI, ENA (MD)
Entity Type:Individual
Prefix:DR
First Name:ENA
Middle Name:
Last Name:SAINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:
Practice Address - Street 1:425 N 21ST ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2223
Practice Address - Country:US
Practice Address - Phone:717-972-4215
Practice Address - Fax:717-972-4216
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD443540207R00000X, 207RI0200X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102654964Medicaid
MD048904200Medicaid
PA30109669OtherAMERIHEALTH MERCY-WMG
PA417878OtherUPMC
PA2673270OtherHIGHMARK BLUE SHIELD
PA1603887OtherGATEWAY
MD048904200Medicaid
PAP01046851Medicare PIN