Provider Demographics
NPI:1124271432
Name:ANIMESH SAHAI, M.D., PLLC
Entity type:Organization
Organization Name:ANIMESH SAHAI, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:509-783-7100
Mailing Address - Street 1:1776 FOWLER ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4833
Mailing Address - Country:US
Mailing Address - Phone:509-783-7100
Mailing Address - Fax:509-783-7177
Practice Address - Street 1:1776 FOWLER ST
Practice Address - Street 2:SUITE #2
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4833
Practice Address - Country:US
Practice Address - Phone:509-783-7100
Practice Address - Fax:509-783-7177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00045559208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8877481Medicare PIN
WAG86568Medicare UPIN