MEDICARE: SAI SANTHOSHINI ACHI MD

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	207R00000X	Internal Medicine Physician	T4695	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	390200000X	Student in an Organized Health Care Education/Training Program		NJ

General Provider Information

NPI Number	:	1679063978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAI SANTHOSHINI ACHI MD

Provider Business Mailing Address
First Line	:	100 MADISON AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6136
Country	:	US
Telephone Number	:	973-971-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	22999 HWY 59 N STE 417 BLDG B
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-4502
Country	:	US
Telephone Number	:	281-312-5006
Fax Number	:	281-852-7579

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

Provider Enumeration Date	:	05/14/2018
Last Update Date	:	04/01/2026

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