Individual
DR. SABU JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
322 LINDEN BLVD, BROOKLYN, NY 11226
(718) 282-0801
(718) 282-8284
Mailing address
826 ALBANY AVE, BROOKLYN, NY 11203-3002
(718) 282-0801
(718) 282-8284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217897
NY
207RC0000X
Cardiovascular Disease Physician
Primary
217897-1
NY
207RI0011X
Interventional Cardiology Physician
217897
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02801178
—
NY
05
—
3810004192
—
WV
Enumeration date
03/07/2006
Last updated
04/21/2017
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