| Idealcare Llc | |
|
2819 Hayes Ave Ste 2 Sandusky OH 44870-5391 | |
| (419) 709-6480 | |
| Not Available |
| Full Name | Idealcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2819 Hayes Ave Ste 2, Sandusky, Ohio |
| Authorized Official Name and Position | Ahmad Firas Sabbagh (OWNER) |
| Authorized Official Contact | 4197096480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Idealcare Llc 28676 Weybridge Dr Westlake OH 44145-6753 Ph: (419) 709-6480 | Idealcare Llc 2819 Hayes Ave Ste 2 Sandusky OH 44870-5391 Ph: (419) 709-6480 |
| NPI Number | 1396273686 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 05/31/2017 |
| Medicare PECOS PAC ID | 7416228168 |
|---|---|
| Medicare Enrollment ID | O20170731000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396273686 | NPI | - | NPPES |
| 2789828 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmad F Sabbagh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528180825 PECOS PAC ID: 4385745017 Enrollment ID: I20070725000619 |
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