Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | K3640 | TX |
NPI | 1154373074 |
---|---|
Provider Name | Irvin Sahni |
First Address | Seguin, TX 78156-0841 |
Second Address | Seguin, TX 78155-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 17/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0084KC | BCBS NUMBER (01) | TX |
161283001 | (05) | TX |
460494105 | TRICARE & CHAMPUS NUMBER (01) | TX |
H35167 | (02) | TX |