Healthcare Provider Details

I. General information

NPI: 1174526446
Provider Name (Legal Business Name): NARAYAN P SAHETA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 11/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12502 WILLOWBROOK RD SUITE 640
CUMBERLAND MD
21502-6491
US

IV. Provider business mailing address

12502 WILLOWBROOK RD SUITE 640
CUMBERLAND MD
21502-6491
US

V. Phone/Fax

Practice location:
  • Phone: 301-723-3780
  • Fax: 301-723-4859
Mailing address:
  • Phone: 301-723-3780
  • Fax: 301-723-4859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: