Provider Demographics
NPI:1487092235
Name:SAINI, NISHMA (MD)
Entity type:Individual
Prefix:
First Name:NISHMA
Middle Name:
Last Name:SAINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:320 MAIN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-1601
Mailing Address - Country:US
Mailing Address - Phone:814-534-1095
Mailing Address - Fax:814-534-6145
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:OFFICE SUITE # B5-118
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1623
Practice Address - Country:US
Practice Address - Phone:612-873-7571
Practice Address - Fax:612-336-0337
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4601902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033213350001Medicaid