# CHANNEL MEDICAL GROUP, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215670070
- **Authorized official:** SABA HAQ MD (PRESIDENT)
- **Authorized official phone:** (949) 463-0650

## Contact information

- **Practice address:** 325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
- **Practice address phone:** (646) 389-3451
- **Mailing address:** 123 5TH AVE FL 2, NEW YORK, NY 10003-1019
- **Mailing address phone:** (833) 447-2775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2022
- **Last updated:** 03/03/2024