Provider Demographics
NPI:1841377579
Name:BAHL, SACHIN (MD)
Entity type:Individual
Prefix:DR
First Name:SACHIN
Middle Name:
Last Name:BAHL
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 1:10922 FRANKSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3043
Mailing Address - Country:US
Mailing Address - Phone:412-241-6111
Mailing Address - Fax:412-731-7149
Practice Address - Street 1:10922 FRANKSTOWN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3043
Practice Address - Country:US
Practice Address - Phone:412-241-6111
Practice Address - Fax:412-731-7149
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418276207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01895399Medicaid
PA01895399Medicaid
PA057328GT8Medicare ID - Type Unspecified