Provider Demographics
NPI:1376612481
Name:SABA, RASHID I (DO)
Entity Type:Individual
Prefix:
First Name:RASHID
Middle Name:I
Last Name:SABA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-6615
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2916 LOCHCARRON DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7865
Practice Address - Country:US
Practice Address - Phone:352-540-1970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9383207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00955952OtherRR MCR ATTACHED TO GRP# DR6927
FL023486100Medicaid
FLP00955952OtherRR MCR ATTACHED TO GRP# DR6927
FL52369VMedicare PIN
FLP00955952OtherRR MCR ATTACHED TO GRP# DR6927
FL52369WMedicare PIN
FL52369XMedicare PIN