Dr.Sabaeva Corp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

DOO69765 Issued in MD

Legal business name

DR.SABAEVA CORP

Practice address

1208 Reisterstown Rd
Pikesville, MD 21208-3801

Phone

(443) 824-2846

NPI assigned

Mar 25, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elena Sabaeva, MD

Title

Owner

Phone

(443) 824-2846

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1386038644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "443-824-2846",
            "fax_number": "443-378-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083801",
            "telephone_number": "443-824-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.SABAEVA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "SABAEVA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-824-2846",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "DOO69765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE BOARD OF PHYSICIAN LICENSE",
            "identifier": "D0069765",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.