Healthcare Provider Details

I. General information

NPI: 1922086628
Provider Name (Legal Business Name): CHRISTINE L SABA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15225 SHADY GROVE RD SUITE 208
ROCKVILLE MD
20850-3254
US

IV. Provider business mailing address

15225 SHADY GROVE RD SUITE 208
ROCKVILLE MD
20850-3254
US

V. Phone/Fax

Practice location:
  • Phone: 301-838-8977
  • Fax: 301-838-0176
Mailing address:
  • Phone: 301-838-8977
  • Fax: 301-838-0176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0047734
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD0047734
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: