Healthcare Provider Details
I. General information
NPI: 1194643866
Provider Name (Legal Business Name): ATLAS ACO
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2614 HALPERIN AVE
BRONX NY
10461-2631
US
IV. Provider business mailing address
PO BOX 788
HARTSDALE NY
10530-0788
US
V. Phone/Fax
- Phone: 844-262-5700
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUMIR
SAHGAL
Title or Position: OWNER
Credential: MD
Phone: 718-299-7295