Provider Demographics
NPI:1427544469
Name:SABEEH, GHAZALA (MD)
Entity Type:Individual
Prefix:
First Name:GHAZALA
Middle Name:
Last Name:SABEEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GHAZALA
Other - Middle Name:
Other - Last Name:ABBASI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2185
Practice Address - Street 1:529 HIGH ST
Practice Address - Street 2:
Practice Address - City:LOCK HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17745-3029
Practice Address - Country:US
Practice Address - Phone:570-858-5622
Practice Address - Fax:570-858-5636
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT216792390200000X
PAMD475599207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty