Provider Demographics
NPI:1447223219
Name:SAUB, EDWARD JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:JOSEPH
Last Name:SAUB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2505 SAMARITAN DR
Mailing Address - Street 2:SUITE 408
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4006
Mailing Address - Country:US
Mailing Address - Phone:408-358-5300
Mailing Address - Fax:408-358-8999
Practice Address - Street 1:2505 SAMARITAN DR
Practice Address - Street 2:SUITE 408
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4006
Practice Address - Country:US
Practice Address - Phone:408-358-5300
Practice Address - Fax:408-358-8999
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2022-08-02
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Provider Licenses
StateLicense IDTaxonomies
CAA066242207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A662420Medicare PIN
CAH47931Medicare UPIN