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General NPI Number Information
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NPI Number | 1285748525
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Entity Type | Individual
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Provider Name | HOUMAN SABAHI MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 2111 EXCHANGE ST DEPT OF RADIOLOGY
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City | ASTORIA
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State | OR
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Zip | 97103-3329
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Country | US
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Telephone | 503-338-7525
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Fax | 503-325-1765
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Provider Business Mailing Address
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Address Line | PO BOX 5329
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City | SAGINAW
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State | MI
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Zip | 48603-0329
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Country | US
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Telephone | 503-343-7128
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Fax | 503-343-7129
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD00034151
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD19977
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License Number State | OR
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