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Physician Compare National (NPI:1568445351)

HEALTHCARE PROVIDER: SABAS FATULE ABUABARA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1568445351
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6204096423
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120327000145
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ABUABARA
Individual professional last name
Provider First Name SABAS
Individual professional first name
Provider Middle Name F
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Primary Specialty GENERAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 GASTROENTEROLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties GASTROENTEROLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 730 N MAIN
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 704
Group Practice or individual's line 2 address
City SAN ANTONIO
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 782051117
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 450058
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 BAPTIST MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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