Provider Demographics
NPI:1962676254
Name:SAHAY, TANNU (MD)
Entity type:Individual
Prefix:
First Name:TANNU
Middle Name:
Last Name:SAHAY
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 1:4851 E PICKARD ST STE 2070
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2039
Mailing Address - Country:US
Mailing Address - Phone:989-956-9107
Mailing Address - Fax:989-956-9165
Practice Address - Street 1:4851 E PICKARD ST STE 2070
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2039
Practice Address - Country:US
Practice Address - Phone:989-956-9107
Practice Address - Fax:989-956-9165
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301078597207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1102911851OtherBCBSM
MIM43630086Medicare PIN