Healthcare Provider Details

I. General information

NPI: 1720111628
Provider Name (Legal Business Name): JOHN SAHS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 09/08/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 BECKNER ROAD
SANTA FE NM
87507
US

IV. Provider business mailing address

1422 PASEO DE PERALTA
SANTA FE NM
87501-4391
US

V. Phone/Fax

Practice location:
  • Phone: 505-820-4500
  • Fax: 505-443-8313
Mailing address:
  • Phone: 505-820-3479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD2017-0699
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: