Provider Demographics
NPI:1881048114
Name:SAI NYSHA LLC
Entity type:Organization
Organization Name:SAI NYSHA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDHYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-318-1654
Mailing Address - Street 1:175 TONEY PENNA DR STE 101
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5747
Mailing Address - Country:US
Mailing Address - Phone:914-318-1654
Mailing Address - Fax:
Practice Address - Street 1:3803 PGA BLVD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2720
Practice Address - Country:US
Practice Address - Phone:561-746-2033
Practice Address - Fax:561-744-5349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-23
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28885207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty