MEDICARE: DR. SAMMIT K SABHARWAL DO

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	207R00000X	Internal Medicine Physician	5101018020	MI

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	12303863	OTHER		CAHQ

General Provider Information

NPI Number	:	1467604801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMMIT K SABHARWAL DO

Provider Business Mailing Address
First Line	:	23300 ECORSE ROAD
Second Line	:
City	:	TAYLOR
State	:	MI
Zip	:	48180-1768
Country	:	US
Telephone Number	:	313-291-9500
Fax Number	:	586-263-2614

Provider Business Practice Location Address
First Line	:	18000 OAKWOOD BLVD
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48123-4089
Country	:	US
Telephone Number	:	313-291-9500
Fax Number	:	586-263-2614

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

Provider Enumeration Date	:	10/16/2008
Last Update Date	:	03/20/2012

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