MEDICARE: DR. ALI SABERI 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	207R00000X	Internal Medicine Physician	ME109056	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00986587	OTHER	FL	MEDICARE RAILROAD PROVIDER NUMBER

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	:	1649495276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALI SABERI MD

Provider Business Mailing Address
First Line	:	2995 DREW ST FL 2
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-532-1355
Fax Number	:	813-635-2613

Provider Business Practice Location Address
First Line	:	5880 49TH ST N STE 203
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2147
Country	:	US
Telephone Number	:	727-300-0405
Fax Number	:	727-279-4800

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	10/04/2022

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