Individual
OSAMA M ELSABAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 CONCENTRIC BLVD, SUITE 1, SAGINAW, MI 48604-9312
(989) 583-6800
(989) 583-6915
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6800
(989) 583-6915
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301086876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457420416
—
MI
01
—
381870664
TAX ID
MI
01
—
700G360210
BLUE CARE NETWORK
MI
01
—
OE086876
LICENSE
MI
Enumeration date
11/06/2006
Last updated
02/06/2009
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