Organization
DR.SABAEVA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELENA SABAEVA MD (OWNER)
(443) 824-2846
Entity
Organization
Contact information
Practice address
1208 REISTERSTOWN RD, PIKESVILLE, MD 21208-3801
(443) 824-2846
Mailing address
1208 REISTERSTOWN RD, PIKESVILLE, MD 21208
(443) 824-2846
(443) 378-7524
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DOO69765
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0069765
THE BOARD OF PHYSICIAN LICENSE
MD
Enumeration date
03/25/2015
Last updated
06/19/2017
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