Provider Demographics
NPI:1346341179
Name:SABUR, RUMANA (MD)
Entity Type:Individual
Prefix:DR
First Name:RUMANA
Middle Name:
Last Name:SABUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 BRAMBACH ST
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5203
Mailing Address - Country:US
Mailing Address - Phone:718-597-9020
Mailing Address - Fax:718-597-9022
Practice Address - Street 1:600 E 233RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2604
Practice Address - Country:US
Practice Address - Phone:718-920-9074
Practice Address - Fax:718-597-9022
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226201207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02370969Medicaid
131AG1Medicare ID - Type Unspecified
NY02370969Medicaid