Provider Demographics
NPI:1316453376
Name:SAHNI HOLDINGS LLC
Entity type:Organization
Organization Name:SAHNI HOLDINGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER AND OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MALLORY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAHNI
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:760-412-7047
Mailing Address - Street 1:2505 CHAMBLEE TUCKER RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-3526
Mailing Address - Country:US
Mailing Address - Phone:770-695-0049
Mailing Address - Fax:770-559-5619
Practice Address - Street 1:2505 CHAMBLEE TUCKER RD STE 110
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-3526
Practice Address - Country:US
Practice Address - Phone:770-695-0049
Practice Address - Fax:770-559-5619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-28
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty