Healthcare Provider Details

I. General information

NPI: 1780248948
Provider Name (Legal Business Name): SABRINA POPATIA MD MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4124 8TH AVE
BROOKLYN NY
11232-3906
US

IV. Provider business mailing address

3322 COUNTRY CLUB BLVD
STAFFORD TX
77477-4706
US

V. Phone/Fax

Practice location:
  • Phone: 212-385-3700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number323324
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number76033-20
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberU6325
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number036.165112
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: