Provider Demographics
NPI:1033169917
Name:SABNIS, VIJAY K (MD)
Entity Type:Individual
Prefix:DR
First Name:VIJAY
Middle Name:K
Last Name:SABNIS
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 1:2727 MIDWEST DR.
Mailing Address - Street 2:ALLERGY ASSOCIATES OF LA CROSSE, LTD.
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-6758
Mailing Address - Country:US
Mailing Address - Phone:608-782-2027
Mailing Address - Fax:
Practice Address - Street 1:2727 MIDWEST DR.
Practice Address - Street 2:ALLERGY ASSOCIATES OF LA CROSSE, LTD.
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-6758
Practice Address - Country:US
Practice Address - Phone:608-782-2027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI25020207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1194786350Medicaid
WI30479700Medicaid
IA0970574Medicaid
MN326562500Medicaid
SD1194786350Medicaid