Provider Demographics
NPI:1003008533
Name:SABODASH, VALERIY (MD)
Entity Type:Individual
Prefix:
First Name:VALERIY
Middle Name:
Last Name:SABODASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5741 BEE RIDGE RD STE 530
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-5061
Mailing Address - Country:US
Mailing Address - Phone:941-487-2160
Mailing Address - Fax:941-487-2170
Practice Address - Street 1:5741 BEE RIDGE RD STE 530
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5061
Practice Address - Country:US
Practice Address - Phone:941-487-2160
Practice Address - Fax:941-487-2170
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1190142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology