Provider Demographics
NPI:1750959516
Name:SARNA-CAHAN, STAV SHABTAI (MD)
Entity type:Individual
Prefix:MR
First Name:STAV
Middle Name:SHABTAI
Last Name:SARNA-CAHAN
Suffix:
Gender:M
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:HOLGA STREET 4
Mailing Address - Street 2:
Mailing Address - City:ZUR HACLASSAH
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:9987500
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:GRB 1302
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-3712
Practice Address - Fax:617-726-4127
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program