Healthcare Provider Details

I. General information

NPI: 1649611864
Provider Name (Legal Business Name): DR. GEETANJALI SAHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 HICKMAN RD
DES MOINES IA
50314-1597
US

IV. Provider business mailing address

1801 HICKMAN RD
DES MOINES IA
50314-1597
US

V. Phone/Fax

Practice location:
  • Phone: 515-282-2200
  • Fax:
Mailing address:
  • Phone: 515-282-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number286901
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number31357
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: