Provider Demographics
NPI:1508809351
Name:SABZANOVA, TAMARA U (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:U
Last Name:SABZANOVA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6532 ELLWELL CRES
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-5032
Mailing Address - Country:US
Mailing Address - Phone:718-795-7407
Mailing Address - Fax:718-997-7904
Practice Address - Street 1:2177 65TH ST FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-3928
Practice Address - Country:US
Practice Address - Phone:718-795-7407
Practice Address - Fax:718-997-7904
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2022-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY220227207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1846T1OtherEMPIRE BCBS
NY02203616Medicaid
NY1846T2OtherEMPIRE BCBS
NY1846T1OtherEMPIRE BCBS