Healthcare Provider Details
I. General information
NPI: 1285880997
Provider Name (Legal Business Name): HEMANT SABHARWAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/13/2008
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
325 SENTRY PKWY E BLDG 5W
BLUE BELL PA
19422-2312
US
IV. Provider business mailing address
3601 SW 160TH AVE STE 250
MIRAMAR FL
33027-6314
US
V. Phone/Fax
- Phone: 954-399-4673
- Fax:
- Phone: 954-399-4673
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | MD042339L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 25MA10726200 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: