Provider Demographics
NPI:1093909756
Name:PEPITO, BRIAN SABADO (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:SABADO
Last Name:PEPITO
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 1:6709 S MINNESOTA AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2592
Mailing Address - Country:US
Mailing Address - Phone:605-322-7250
Mailing Address - Fax:
Practice Address - Street 1:6709 S MINNESOTA AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2592
Practice Address - Country:US
Practice Address - Phone:605-322-7250
Practice Address - Fax:605-331-6401
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD8615207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease