Provider Demographics
NPI:1598824963
Name:MARKESE, SABRINA (MD)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:MARKESE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 SCHWEGIER DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAWERENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66045
Mailing Address - Country:US
Mailing Address - Phone:785-864-9525
Mailing Address - Fax:785-812-0217
Practice Address - Street 1:1200 SCHWEGIER DRIVE
Practice Address - Street 2:
Practice Address - City:LAWERENCE
Practice Address - State:KS
Practice Address - Zip Code:66045
Practice Address - Country:US
Practice Address - Phone:785-864-9525
Practice Address - Fax:785-812-0217
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-26425207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100298140BMedicaid
KSM728036Medicare ID - Type Unspecified