MEDICARE: RADWAN SABA 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	207L00000X	Anesthesiology Physician	29030	AZ

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	:	1306871892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RADWAN SABA MD

Provider Business Mailing Address
First Line	:	PO BOX 13385
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85267-3385
Country	:	US
Telephone Number	:	480-609-9300
Fax Number	:	480-609-9350

Provider Business Practice Location Address
First Line	:	3533 CANYON DE FLORES
Second Line	:	SUITE A
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85650-5366
Country	:	US
Telephone Number	:	520-515-9751
Fax Number	:	520-515-9786

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	10/15/2015

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Directions to “ RADWAN SABA MD” Practice Location

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