Healthcare Provider Details

I. General information

NPI: 1225492119
Provider Name (Legal Business Name): NABIL SABBAK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: NABIL AL-SABBAK MD

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 WHITCHER ST NE STE 350
MARIETTA GA
30060-1129
US

IV. Provider business mailing address

55 WHITCHER ST NE STE 350
MARIETTA GA
30060-1129
US

V. Phone/Fax

Practice location:
  • Phone: 770-424-6893
  • Fax: 770-528-9938
Mailing address:
  • Phone: 770-424-6893
  • Fax: 770-528-9938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number100557
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: