Provider Demographics
NPI:1508923582
Name:SABA, AMER A (MD)
Entity Type:Individual
Prefix:DR
First Name:AMER
Middle Name:A
Last Name:SABA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 685
Mailing Address - Street 2:
Mailing Address - City:DUNN LORING
Mailing Address - State:VA
Mailing Address - Zip Code:22027-0685
Mailing Address - Country:US
Mailing Address - Phone:703-723-4440
Mailing Address - Fax:703-485-2989
Practice Address - Street 1:2235 CEDAR LN
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-5202
Practice Address - Country:US
Practice Address - Phone:703-723-4440
Practice Address - Fax:703-485-2989
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD33575173000000X
VA0101233678174400000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No173000000XOther Service ProvidersLegal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA611455203OtherTAX ID
VA611455203OtherTAX ID
VA190000838Medicare ID - Type UnspecifiedLOUDOUN
VAH85420Medicare UPIN