Provider Demographics
NPI:1073763488
Name:SABA, KARL (DO)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:
Last Name:SABA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:77 BATES ST
Mailing Address - Street 2:STE. 101
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7637
Mailing Address - Country:US
Mailing Address - Phone:207-795-2929
Mailing Address - Fax:207-753-7690
Practice Address - Street 1:77 BATES ST
Practice Address - Street 2:STE. 101
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7637
Practice Address - Country:US
Practice Address - Phone:207-795-2929
Practice Address - Fax:207-753-7690
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MED02394207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM372501Medicare UPIN
MEMM372502Medicare UPIN