Provider Demographics
NPI:1821850314
Name:SAHA, SUNISHA DEVI-SOOD (CRNP)
Entity Type:Individual
Prefix:DR
First Name:SUNISHA
Middle Name:DEVI-SOOD
Last Name:SAHA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6102 WALLEYE PL
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6373
Mailing Address - Country:US
Mailing Address - Phone:703-850-4939
Mailing Address - Fax:
Practice Address - Street 1:6102 WALLEYE PL
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21774-6373
Practice Address - Country:US
Practice Address - Phone:703-850-4939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR264165363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner