Healthcare Provider Details

I. General information

NPI: 1386200657
Provider Name (Legal Business Name): ROBINDER SINGH SAHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ST. ELIZABETH BLVD SUITE 400
O'FALLON IL
62269-1284
US

IV. Provider business mailing address

3 ST. ELIZABETH BLVD SUITE 400
O'FALLON IL
62269-1284
US

V. Phone/Fax

Practice location:
  • Phone: 618-233-7880
  • Fax: 618-222-4792
Mailing address:
  • Phone: 618-233-7880
  • Fax: 618-222-4792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036157991
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: