Provider Demographics
NPI:1326045667
Name:SABHARWAL, VEENA
Entity Type:Individual
Prefix:DR
First Name:VEENA
Middle Name:
Last Name:SABHARWAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37672 PROFESSIONAL CENTER DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1154
Mailing Address - Country:US
Mailing Address - Phone:734-591-0220
Mailing Address - Fax:734-591-0236
Practice Address - Street 1:37672 PROFESSIONAL CENTER DR
Practice Address - Street 2:SUITE 120
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1154
Practice Address - Country:US
Practice Address - Phone:734-591-0220
Practice Address - Fax:734-591-0236
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI039196208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics