MEDICARE: TABASSUM 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	2084N0400X	Neurology Physician	0429333	KS
2	2084N0400X	Neurology Physician	2001026587	MO
3	2084P0800X	Psychiatry Physician	71377	MN
4	2084P0800X	Psychiatry Physician	2001026587	MO

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
2	228746563	OTHER	MO	BNDD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427067230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TABASSUM SABA MD

Provider Business Mailing Address
First Line	:	3324 E 8TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-5007
Country	:	US
Telephone Number	:	417-439-4048
Fax Number	:	417-347-7608

Provider Business Practice Location Address
First Line	:	9990 COUNTY FARM RD
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-3542
Country	:	US
Telephone Number	:	909-358-4501
Fax Number	:

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	06/18/2025

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Directions to “ TABASSUM SABA MD” Practice Location

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