Provider Demographics
NPI:1578677829
Name:MONDAL, SABIHA AKHTAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SABIHA
Middle Name:AKHTAR
Last Name:MONDAL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:701 E WHITESTONE BLVD
Mailing Address - Street 2:CEDAR PARK VA COMMUNITY BASED OUTPATIENT CLINIC
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-6944
Mailing Address - Country:US
Mailing Address - Phone:512-260-1368
Mailing Address - Fax:512-260-9871
Practice Address - Street 1:701 E WHITESTONE BLVD
Practice Address - Street 2:CEDAR PARK VA COMMUNITY BASED OUTPATIENT CLINIC
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6944
Practice Address - Country:US
Practice Address - Phone:512-260-1368
Practice Address - Fax:512-260-9871
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXL0433207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine