Individual
MADHUMITA SAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
103 MCKNIGHT DR, SUITE A, MIDDLETOWN, OH 45044-4890
(513) 217-6400
(513) 217-6037
Mailing address
3170 KETTERING BLVD, BLDG B 3RD FL, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35075762
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200239780
—
IN
05
—
2108730
—
OH
01
—
2118152
AETNA
—
01
—
2501681
UNITED
—
01
—
283895
AMERIGROUP
OH
05
—
64025570
—
KY
Enumeration date
04/11/2006
Last updated
10/30/2020
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