Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 430106623 | MI |
NPI | 1023117025 |
---|---|
Provider Name | Dr. Eva Saha |
First Address | Clinton Township, MI 48038-1109 |
Second Address | Clinton Township, MI 48038-1109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 29/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1105012150 | BLUE CROSS BLUE SHIELD (01) | MI |
4387473-10 | (05) | MI |
H 57711 | (02) | MI |