Healthcare Provider Details

I. General information

NPI: 1346036241
Provider Name (Legal Business Name): SABA PLASTIC SURGERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8180 N HAYDEN RD STE D100
SCOTTSDALE AZ
85258-2464
US

IV. Provider business mailing address

8180 N HAYDEN RD STE D100
SCOTTSDALE AZ
85258-2464
US

V. Phone/Fax

Practice location:
  • Phone: 480-736-3933
  • Fax: 480-336-3340
Mailing address:
  • Phone: 480-736-3933
  • Fax: 480-336-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SABA GHORAB
Title or Position: MEMBER
Credential: MD
Phone: 480-736-3933