Provider Demographics
NPI:1477264158
Name:SABRA MEDTECH, LLC
Entity Type:Organization
Organization Name:SABRA MEDTECH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KULDARSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PADDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-910-2101
Mailing Address - Street 1:6280 S VALLEY VIEW BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3892
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6280 S VALLEY VIEW BLVD STE 400
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3892
Practice Address - Country:US
Practice Address - Phone:702-859-1810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARVARD MEDTECH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies