Provider Demographics
NPI:1811185366
Name:ANAND SAHU MD PA
Entity Type:Organization
Organization Name:ANAND SAHU MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:P
Authorized Official - Last Name:SAHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-340-7676
Mailing Address - Street 1:458 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2675
Mailing Address - Country:US
Mailing Address - Phone:973-340-7676
Mailing Address - Fax:973-546-8887
Practice Address - Street 1:458 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2675
Practice Address - Country:US
Practice Address - Phone:973-340-7676
Practice Address - Fax:973-546-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02515900261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care