MEDICARE: DRAGOS SABAU MD

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
1	2084E0001X	Epilepsy Physician	01058875A	IN
2	2084N0400X	Neurology Physician	01058875A	IN
3	2084N0600X	Clinical Neurophysiology Physician	01058875A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104823004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DRAGOS SABAU MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	545 BRANHILL DR
Second Line	:	EM 125
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5112
Country	:	US
Telephone Number	:	317-944-8800
Fax Number	:	317-944-2384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/06/2025

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Directions to “ DRAGOS SABAU MD” Practice Location

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