Healthcare Provider Details

I. General information

NPI: 1104898931
Provider Name (Legal Business Name): DR. RAKESH SAHNI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3959 BROADWAY COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK NY
10032-1559
US

IV. Provider business mailing address

5700 ARLINGTON AVE
BRONX NY
10471-1503
US

V. Phone/Fax

Practice location:
  • Phone: 212-304-7250
  • Fax: 212-544-1974
Mailing address:
  • Phone: 718-549-7184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number199343
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: