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NPI Code Detail

MEDICARE: CHARISSE ESTESS SABATH M.D.

MEDICARE: CHARISSE ESTESS SABATH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianR3201TX
2207R00000XInternal Medicine PhysicianD72376MD

General Provider Information

NPI Number : 1043478480
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARISSE ESTESS SABATH M.D.
Provider Business Mailing Address
First Line : 6961 MAGNOLIA AVE
Second Line :
City : ELKRIDGE
State : MD
Zip : 21075-6343
Country : US
Telephone Number : 240-354-5503
Fax Number :
Provider Business Practice Location Address
First Line : 5755 CEDAR LN
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2912
Country : US
Telephone Number : 410-720-8695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2008
Last Update Date : 01/13/2022

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Directions to “ CHARISSE ESTESS SABATH M.D.” Practice Location

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