Doctor Name: | DR. BHASKAR SAHAY |
NPI Number: | 1568405587 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 2003-0614 |
Business Practice Address: | 1600 W 21st St Suite A Clovis, NM - 881014084 |
Business Phone Number: | 5759359360 |
Business Fax Number: | 5759359363 |
Mailing Address: | 1600 W 21st St, Suite A CLOVIS |
State: | NM |
Postal Code: | 881014084 |
Phone Number: | 5759359360 |
Fax Number: | 5759359363 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 03/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2003-0614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |