MEDICARE: SABREEN H BOONE D.O.

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	208M00000X	Hospitalist Physician	008999	AZ
2	207Q00000X	Family Medicine Physician	005946	AZ
3	207Q00000X	Family Medicine Physician	CL0035	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	726046	OTHER	AZ	ACHCCS

General Provider Information

NPI Number	:	1881827814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABREEN H BOONE D.O.

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-877-5199
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 N NELLIS BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110
Country	:	US
Telephone Number	:	702-877-5199
Fax Number	:

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

Provider Enumeration Date	:	08/25/2009
Last Update Date	:	03/05/2026

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Directions to “ SABREEN H BOONE D.O.” Practice Location

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