Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | P3235 | TX |
Y | 2080P0214X | Pediatric Pulmonologist | P3235 | TX |
NPI | 1609014851 |
---|---|
Provider Name | Pravin Kumar Sah |
First Address | Dallas, TX 75230-2571 |
Second Address | Dallas, TX 75230-2571 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2009 |
Last Update Date | 29/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
308993001 | (05) | TX |
8DG839 | BCBS (01) | TX |