Physician Compare National (NPI:1598720013)

HEALTHCARE PROVIDER: AMIT P SAHA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598720013
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002079191
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120530000460
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAHA
	Individual professional last name
Provider First Name	AMITABH
	Individual professional first name
Provider Middle Name	PRATIM
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	COLORECTAL SURGERY (PROCTOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4200 W MEMORIAL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 612
	Group Practice or individual's line 2 address
City	OKLAHOMA CITY
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	731208387
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370013
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY HOSPITAL OKLAHOMA CITY, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	371317
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL LOGAN COUNTY, INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y