Provider Demographics
NPI:1881679538
Name:SAHA, USHA (MD)
Entity Type:Individual
Prefix:MRS
First Name:USHA
Middle Name:
Last Name:SAHA
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 1:210 CORNELIA ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2318
Mailing Address - Country:US
Mailing Address - Phone:518-562-7424
Mailing Address - Fax:518-563-5076
Practice Address - Street 1:210 CORNELIA ST
Practice Address - Street 2:SUITE 405
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2318
Practice Address - Country:US
Practice Address - Phone:518-562-7424
Practice Address - Fax:518-563-5076
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1656291207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00989799Medicaid
50465BMedicare UPIN
NY00989799Medicaid