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Individual

SUNATI SAHOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9073
(214) 590-8607
(214) 590-1473
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9073
(214) 590-8607
(214) 590-1473

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
37980
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
37980
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200456080
MEDICAID
IN
05
64-081839
KY
Enumeration date
12/23/2005
Last updated
08/26/2011
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