Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 36242 | TN |
NPI | 1346219292 |
---|---|
Provider Name | Dr. Disha Saharia |
First Address | Houston, TX 77054-2984 |
Second Address | Memphis, TN 38103-2800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 24/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H67624 | (02) | TN |