MEDICARE: DR. ANIK SAHA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2084P0800X	Psychiatry Physician	315135-01	NY

General Provider Information

NPI Number	:	1205464260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANIK SAHA MD

Provider Business Mailing Address
First Line	:	161 E 110TH ST APT 3J
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-3388
Country	:	US
Telephone Number	:	240-994-6149
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 E 110TH ST APT 3J
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-3388
Country	:	US
Telephone Number	:	347-433-8369
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2020
Last Update Date	:	09/26/2024

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