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Kallol Kumar Saha

Family Doctor General Practice Physician Family Doctor - Addiction Medicine and 1 more

340 Stateline Rd W
Southaven , Mississippi 38671-1610

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Addiction Medicine
  • General Practice Physician

Languages spoken

  • English

Location

340 Stateline Rd W Southaven , Mississippi 38671-1610

First Address

  • Kallol Kumar Saha
  • 9323 Breakstone Cv
  • Collierville, TN
  • Zip : 38017-9740
  • Phone : (405) 473-0943

Second Address

  • Kallol Kumar Saha
  • 340 Stateline Rd W
  • Southaven, MS
  • Zip : 38671-1610
  • Phone : (622) 579-3955

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FAQs


Where did Kallol Kumar Saha attend graduate school?

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Where did Kallol Kumar Saha do his residency?

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Where did Kallol Kumar Saha do his fellowship?

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Is Kallol Kumar Saha board certified?

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What type of doctor is Kallol Kumar Saha

Family Doctor - Addiction Medicine

In what state does Kallol Kumar Saha practice in?

Mississippi

Where is Kallol Kumar Saha ’s practice located?

340 Stateline Rd W , Southaven, Mississippi, 38671-1610

What is Kallol Kumar Saha ’s gender?

Male

Is Kallol Kumar Saha a sole practitioner?

No

Is Kallol Kumar Saha accepting new patients?

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What languages does Kallol Kumar Saha speak?

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Does Kallol Kumar Saha accept insurance?

Yes, Kallol Kumar Saha accepts insurance

Does Kallol Kumar Saha offers telemedicine?

Kallol Kumar Saha has not indicated if he offers telemedicine

What is Kallol Kumar Saha ’s professional license number?

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What is Kallol Kumar Saha ’s NPI number?

1700088085

Does Kallol Kumar Saha have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Q00000X Family Doctor 25014 MS
N 207Q00000X Family Doctor 48776 TN
Y 207QA0401X Family Doctor - Addiction Medicine 25014 MS
N 208D00000X General Practice Physician 25014 MS
N 208D00000X General Practice Physician 48776 TN

National Provider Identifier

NPI 1700088085
Provider Name Kallol Kumar Saha
First Address Collierville, TN 38017-9740
Second Address Southaven, MS 38671-1610
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 31/05/2007
Last Update Date 19/07/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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