Provider Demographics
NPI:1174526446
Name:SAHETA, NARAYAN P (MD)
Entity type:Individual
Prefix:DR
First Name:NARAYAN
Middle Name:P
Last Name:SAHETA
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 1:12502 WILLOWBROOK RD
Mailing Address - Street 2:SUITE 640
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-6491
Mailing Address - Country:US
Mailing Address - Phone:301-723-3780
Mailing Address - Fax:301-723-4859
Practice Address - Street 1:12502 WILLOWBROOK RD
Practice Address - Street 2:SUITE 640
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-6491
Practice Address - Country:US
Practice Address - Phone:301-723-3780
Practice Address - Fax:301-723-4859
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
060009050OtherRAILROAD MEDICARE
WV0087340000Medicaid
MD060009050Medicaid
MD759AMedicare ID - Type Unspecified
MD060009050Medicaid