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SABA PEDIATRIC MEDICINELLC NPI 1871783456


NPI Information

NPI: 1871783456
Provider Name: SABA PEDIATRIC MEDICINE,LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 21D0986759

Address:
15225 SHADY GROVE RD
SUITE 208
ROCKVILLE, MD
ZIP 20850
Phone: (301) 838-8977
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SABA PEDIATRIC MEDICINE,LLC is a pediatrics in Rockville, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SABA PEDIATRIC MEDICINE,LLC NPI is 1871783456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15225 SHADY GROVE RD
SUITE 208
ROCKVILLE, MD
ZIP 20850-258
Phone: (301) 838-8977
Fax: (301) 838-0176

The provider's authorized official is Christine L Saba .
The authorized official title is President and has the following contact phone number (301) 838-8977.

The CLIA number assigned to this NPI record is 21D0986759 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 11/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsD0047734MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1302410500MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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