MEDICARE: DR. AMIT P SAHA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208C00000X	Colon & Rectal Surgery Physician	22328	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598720013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIT P SAHA M.D.

Provider Business Mailing Address
First Line	:	4200 W MEMORIAL RD
Second Line	:	STE 909
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-9350
Country	:	US
Telephone Number	:	405-749-4201
Fax Number	:	405-749-4208

Provider Business Practice Location Address
First Line	:	4200 W MEMORIAL RD
Second Line	:	STE 909
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-9350
Country	:	US
Telephone Number	:	405-749-4201
Fax Number	:	405-749-4208

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	02/13/2012

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