| Dr.sabaeva Corp | |
|
1208 Reisterstown Rd Pikesville MD 21208-3801 | |
| (443) 824-2846 | |
| Not Available |
| Full Name | Dr.sabaeva Corp |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1208 Reisterstown Rd, Pikesville, Maryland |
| Authorized Official Name and Position | Elena Sabaeva (OWNER) |
| Authorized Official Contact | 4438242846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.sabaeva Corp 1208 Reisterstown Rd Pikesville MD 21208 Ph: (443) 824-2846 | Dr.sabaeva Corp 1208 Reisterstown Rd Pikesville MD 21208-3801 Ph: (443) 824-2846 |
| NPI Number | 1386038644 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 06/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386038644 | NPI | - | NPPES |
| D0069765 | Other | MD | THE BOARD OF PHYSICIAN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DOO69765 (Maryland) | Primary |
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