Provider Demographics
NPI:1588079412
Name:AHSAN, SAHIR (MD)
Entity type:Individual
Prefix:
First Name:SAHIR
Middle Name:
Last Name:AHSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 N KENSICO AVE
Mailing Address - Street 2:APT 21
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2242
Mailing Address - Country:US
Mailing Address - Phone:229-343-1120
Mailing Address - Fax:
Practice Address - Street 1:130 N KENSICO AVE
Practice Address - Street 2:APT 21
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2242
Practice Address - Country:US
Practice Address - Phone:229-343-1120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program