Provider Demographics
NPI:1003925751
Name:SABHARWAL, MASKEEN K (MD)
Entity Type:Individual
Prefix:MRS
First Name:MASKEEN
Middle Name:K
Last Name:SABHARWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1860 MOWRY AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1730
Mailing Address - Country:US
Mailing Address - Phone:510-793-2020
Mailing Address - Fax:510-793-0384
Practice Address - Street 1:1860 MOWRY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1730
Practice Address - Country:US
Practice Address - Phone:510-793-2020
Practice Address - Fax:510-793-0384
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2010-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA37042207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A370420Medicaid
CA00A370420Medicaid
CA0774400001Medicare NSC
CA00A370420Medicare ID - Type Unspecified