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NPI Code Detail

MEDICARE: DR. PETER MILAD SABBAGH M.D.

MEDICARE:  DR. PETER MILAD SABBAGH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301096796MI
2207RS0012XSleep Medicine (Internal Medicine) Physician4301096796MI
3207RP1001XPulmonary Disease Physician4301096796MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MI4989554OTHERMIMEDICARE PTAN EFFECTIVE 07/01/2017

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21295023547OTHERMIGROUP NPI MHP
345-1674932OTHERMIGROUP TAX ID MHP DBA: OAKLAND LUNG & SLEEP SPECIALIST

General Provider Information

NPI Number : 1295046746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER MILAD SABBAGH M.D.
Provider Business Mailing Address
First Line : 42557 WOODWARD AVE STE 130
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-5206
Country : US
Telephone Number : 248-322-3088
Fax Number : 248-322-4175
Provider Business Practice Location Address
First Line : 3100 CROSS CREEK PKWY STE 210B
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-2776
Country : US
Telephone Number : 248-335-1110
Fax Number : 248-335-6129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2010
Last Update Date : 07/21/2022

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Directions to “ DR. PETER MILAD SABBAGH M.D.” Practice Location

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