Basic Information
| Provider Information | |||||||||
| NPI: | 1730556259 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAHA | ||||||||
| FirstName: | RAM | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 405 THACKERAY CLOSE | ||||||||
| Address2: | |||||||||
| City: | MOOSIC | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146732275 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6431 FANNIN ST STE 1014 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770301501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8323257080 | ||||||||
| FaxNumber: | 7135122239 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/01/2015 | ||||||||
| LastUpdateDate: | 04/13/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.