Provider Demographics
NPI:1588875512
Name:SAHARAN, SAHDEV (MD)
Entity type:Individual
Prefix:DR
First Name:SAHDEV
Middle Name:
Last Name:SAHARAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3031 W MARCH LN
Mailing Address - Street 2:STE 203
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-6568
Mailing Address - Country:US
Mailing Address - Phone:209-462-7246
Mailing Address - Fax:209-462-7247
Practice Address - Street 1:530 W EATON AVE
Practice Address - Street 2:STE 5
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-3400
Practice Address - Country:US
Practice Address - Phone:209-462-7246
Practice Address - Fax:209-462-7247
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA93889207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS01033595Medicaid
MS01033595Medicaid
MSP00668660Medicare PIN