MEDICARE: SADEK DEBWAN

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	2084N0400X	Neurology Physician	A199058	CA
2	2084N0400X	Neurology Physician	ME159671	FL

General Provider Information

NPI Number	:	1396368585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADEK DEBWAN

Provider Business Mailing Address
First Line	:	PO BOX 255228
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95865-5228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2720 LOW CT
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-9771
Country	:	US
Telephone Number	:	707-427-4900
Fax Number	:

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

Provider Enumeration Date	:	05/21/2020
Last Update Date	:	05/07/2026

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Directions to “ SADEK DEBWAN ” Practice Location

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