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NPI Code Detail

MEDICARE: IYAD SABBAGH M.D.

MEDICARE: IYAD SABBAGH M.D.
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
1207R00000XInternal Medicine Physician014848ME

General Provider Information

NPI Number : 1851338206
Entity Type Code : Individual
Provider Name (Legal Business Name) : IYAD SABBAGH M.D.
Provider Business Mailing Address
First Line : 220 CAMPUS BLVD STE 100
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-2888
Country : US
Telephone Number : 540-536-5100
Fax Number : 540-536-0235
Provider Business Practice Location Address
First Line : 1440 AMHERST ST
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-3010
Country : US
Telephone Number : 540-536-5400
Fax Number : 540-536-5490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 03/06/2021

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