Individual
DR. MOHAMAD A SABBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
400 9TH ST, FLORENCE, OR 97439-7398
(541) 902-6131
(541) 902-7502
Mailing address
400 9TH ST, FLORENCE, OR 97439-7398
(541) 997-8412
(541) 902-7502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD156296
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500645560
—
OR
01
—
MD156296
STATE LICENSE
OR
Enumeration date
01/14/2010
Last updated
11/29/2012
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