| Doctor Name: | KALLOL KUMAR SAHA |
| NPI Number: | 1700088085 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 48776 |
| Business Practice Address: | 3601 Sw 160th Ave Suite 250 Miramar, FL - 330276308 |
| Business Phone Number: | 8778667123 |
| Business Fax Number: | |
| Mailing Address: | 532 Rivercrest Cv, NASHVILLE |
| State: | TN |
| Postal Code: | 372142598 |
| Phone Number: | 4054730943 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 05/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 48776 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |