Provider Demographics
NPI:1164000832
Name:MAHAJAN, SAKSHI
Entity type:Individual
Prefix:
First Name:SAKSHI
Middle Name:
Last Name:MAHAJAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 COMMERCE DR STE 140
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-9290
Mailing Address - Country:US
Mailing Address - Phone:651-501-2010
Mailing Address - Fax:651-436-6775
Practice Address - Street 1:670 COMMERCE DR STE 140
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-9290
Practice Address - Country:US
Practice Address - Phone:651-501-2010
Practice Address - Fax:651-436-6775
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047077225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist