1942283189 NPI number — DR. ABDELMAJID SABOUR MD

Table of content: DR. ABDELMAJID SABOUR MD (NPI 1942283189)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942283189 NPI number — DR. ABDELMAJID SABOUR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SABOUR
Provider First Name:
ABDELMAJID
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942283189
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 N BROADWAY
Provider Second Line Business Mailing Address:
POFESSIONAL BILLING - PHELPS MEDICAL PRACTICES
Provider Business Mailing Address City Name:
SLEEPY HOLLOW
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10591-1020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-366-3134
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4900 CALIFORNIA AVE STE 400
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-7024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-459-1900
Provider Business Practice Location Address Fax Number:
661-746-9197
Provider Enumeration Date:
11/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  142896 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02889889 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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