Provider Demographics
NPI:1457307530
Name:CHAMMAS, SABAH N (MD)
Entity Type:Individual
Prefix:MR
First Name:SABAH
Middle Name:N
Last Name:CHAMMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 609001
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92160-9001
Mailing Address - Country:US
Mailing Address - Phone:619-528-4600
Mailing Address - Fax:619-528-4625
Practice Address - Street 1:328 ENCINITAS BLVD
Practice Address - Street 2:SUITE#100
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-8704
Practice Address - Country:US
Practice Address - Phone:619-528-4600
Practice Address - Fax:619-528-4625
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC378662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW416Medicare PIN
CAA36775Medicare UPIN
CAWC37866AMedicare PIN