Provider Demographics
NPI:1033155908
Name:SABBATH, ADAM M (MD)
Entity Type:Individual
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First Name:ADAM
Middle Name:M
Last Name:SABBATH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2500 W UTOPIA RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4171
Mailing Address - Country:US
Mailing Address - Phone:602-214-6148
Mailing Address - Fax:602-214-6149
Practice Address - Street 1:9250 N 3RD ST
Practice Address - Street 2:SUITE 3010
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2425
Practice Address - Country:US
Practice Address - Phone:602-861-1168
Practice Address - Fax:602-861-1763
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2013-09-25
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Provider Licenses
StateLicense IDTaxonomies
AZ33929207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ043733Medicaid
AZ043733Medicaid