Dr.Sabaeva Corp
Clinic/Center, Primary Care in Pikesville, MD. Organization (NPI-2).
NPI number1386038644
StatusActive
Last updated in NPPESJun 19, 2017
Details
- NPI
- 1386038644
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr.Sabaeva Corp
- Organization subpart
- No
- Enumeration date
- Mar 25, 2015
- Last updated
- Jun 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | DOO69765 | MD | Yes |
Practice location
1208 Reisterstown RdPikesville, MD 21208-3801
Phone 443-824-2846
Mailing address
1208 Reisterstown RdPikesville, MD 21208
Phone 443-824-2846 · Fax 443-378-7524
Authorized official
Elena Sabaeva
Owner
4438242846
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