Individual
PRITISH SAHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
102209650
VA
208D00000X
General Practice Physician
Primary
DOSR-663-0
HI
Other
Enumeration date
04/01/2024
Last updated
06/18/2026
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