Individual
JEREMIAH JAMES SABADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CHILDRENS WAY # 104, LITTLE ROCK, AR 72202-3500
(501) 364-1175
(501) 364-1513
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
35.093583
OH
2085R0202X
Diagnostic Radiology Physician
35.093583
OH
2085R0202X
Diagnostic Radiology Physician
Primary
E-16256
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480999
—
OH
01
—
H952370
CGS - MEDICARE
OH
Enumeration date
05/21/2007
Last updated
04/03/2023
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