Provider Demographics
NPI:1770726796
Name:SAHA, ARNOLD (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:
Last Name:SAHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2487 S GILBERT RD STE 106
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-2802
Mailing Address - Country:US
Mailing Address - Phone:512-772-1677
Mailing Address - Fax:512-772-1692
Practice Address - Street 1:8111 E THOMAS RD STE 100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5876
Practice Address - Country:US
Practice Address - Phone:480-907-7572
Practice Address - Fax:480-485-7755
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT1982482085R0202X
TXQ46852085R0204X
MI43011046302085R0204X
NMMD2017-00702085R0204X
AZ629022085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX347825701Medicaid
TX8FE500OtherBCBS TX
AZ142503Medicaid