Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 4301058150 | MI |
Y | 2086X0206X | Surgical Oncologist | MD031239E | PA |
NPI | 1427056175 |
---|---|
Provider Name | Sukamal Saha |
First Address | Flint, MI 48532-3685 |
Second Address | Flint, MI 48532-3685 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 25/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0254832 | (02) | |
1030782420001 | (05) | PA |
103118229 | (05) | MI |
C67660 | (02) | MI |