Healthcare Provider Details
I. General information
NPI: 1215934237
Provider Name (Legal Business Name): SUBHASH C SAHAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/05/2005
Last Update Date: 03/17/2021
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2350 HOSPITAL DR STE A
WEBSTER CITY IA
50595
US
IV. Provider business mailing address
PO BOX 430
WEBSTER CITY IA
50595-0430
US
V. Phone/Fax
- Phone: 515-832-7800
- Fax: 515-832-1123
- Phone: 515-832-7800
- Fax: 515-832-1123
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 19532 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: