Healthcare Provider Details

I. General information

NPI: 1265604425
Provider Name (Legal Business Name): U. K. SAB, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 03/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 ARCH ST SUITE A
REDWOOD CITY CA
94062-1487
US

IV. Provider business mailing address

80 ARCH ST SUITE A
REDWOOD CITY CA
94062-1487
US

V. Phone/Fax

Practice location:
  • Phone: 650-368-2371
  • Fax: 650-368-6872
Mailing address:
  • Phone: 650-368-2371
  • Fax: 650-368-6872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberA34184
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA34184
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA34184
License Number StateCA

VIII. Authorized Official

Name: DR. UMESH K SAB
Title or Position: OWNER/DOCTOR
Credential: M.D.
Phone: 650-368-2371