Provider Demographics
NPI:1255486924
Name:SABICHI, ANITA (MD)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:SABICHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 BAYLOR PLZ
Mailing Address - Street 2:MS BCM 187
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3411
Mailing Address - Country:US
Mailing Address - Phone:713-798-4508
Mailing Address - Fax:713-798-6677
Practice Address - Street 1:1 BAYLOR PLZ
Practice Address - Street 2:MS BCM 187
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3411
Practice Address - Country:US
Practice Address - Phone:713-798-4508
Practice Address - Fax:713-798-6677
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK6284207R00000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX040163001Medicaid
TX110164077OtherRAILROAD MEDICARE
TX88853GOtherBLUE CROSS BLUE SHIELD
TX88853GOtherBLUE CROSS BLUE SHIELD