| Doctor Name: | PRADIPTA KUMAR SAHU |
| NPI Number: | 1053564872 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, OTR, CHT |
| License Number: | 110584 |
| Business Practice Address: | 611 S. Highway 78 Suite 103 Wylie, TX - 75098 |
| Business Phone Number: | 9724428300 |
| Business Fax Number: | 9724428006 |
| Mailing Address: | 611 S. Highway 78, Suite 103 WYLIE |
| State: | TX |
| Postal Code: | 75098 |
| Phone Number: | 9724428300 |
| Fax Number: | 9724428006 |
| NPI Enumeration Date: | 10/23/2008 |
| NPI Last Update Date: | 10/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 110584 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |