Provider Demographics
NPI:1356387005
Name:SAHAY, LEENA (MD)
Entity type:Individual
Prefix:
First Name:LEENA
Middle Name:
Last Name:SAHAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LEENA
Other - Middle Name:
Other - Last Name:NATH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:147 W CIERRA MADRE BLVD
Mailing Address - Street 2:
Mailing Address - City:SIERRA MADRE
Mailing Address - State:CA
Mailing Address - Zip Code:91024-2462
Mailing Address - Country:US
Mailing Address - Phone:626-355-3443
Mailing Address - Fax:626-355-7843
Practice Address - Street 1:147 W CIERRA MADRE BLVD
Practice Address - Street 2:
Practice Address - City:SIERRA MADRE
Practice Address - State:CA
Practice Address - Zip Code:91024-2462
Practice Address - Country:US
Practice Address - Phone:626-355-3443
Practice Address - Fax:626-355-7843
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA066161207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH30408Medicare UPIN
A66161Medicare ID - Type Unspecified