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NPI Code Detail

MEDICARE: DR. CAROLYN MARIE SABA MD

MEDICARE: DR. CAROLYN MARIE SABA MD
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
1207L00000XAnesthesiology Physician29164AZ
2207L00000XAnesthesiology Physician141298CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508885039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLYN MARIE SABA MD
Provider Business Mailing Address
First Line : 9566 S SWISS CT
Second Line :
City : HEREFORD
State : AZ
Zip : 85615-9779
Country : US
Telephone Number : 480-609-9300
Fax Number : 480-609-9350
Provider Business Practice Location Address
First Line : 85 SIERRA PARK RD
Second Line :
City : MAMMOTH LAKES
State : CA
Zip : 93546-2073
Country : US
Telephone Number : 760-934-3311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 12/28/2020

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