Healthcare Provider Details

I. General information

NPI: 1073749016
Provider Name (Legal Business Name): SARAH HATAB CHAABAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH HATAB MD

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 08/24/2021
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

2 GREENWAY PLZ STE 300
HOUSTON TX
77046-0207
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3661
  • Fax: 216-844-8900
Mailing address:
  • Phone: 832-828-3660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberQ7202
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: