Provider Demographics
NPI:1700856747
Name:SABHARWAL, SUBHASH C (MD)
Entity Type:Individual
Prefix:DR
First Name:SUBHASH
Middle Name:C
Last Name:SABHARWAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:26901 BEAUMONT BLVD STE 3D
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22060 BEECH ST 200
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2853
Practice Address - Country:US
Practice Address - Phone:313-271-2580
Practice Address - Fax:313-228-0506
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301042215207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2601832Medicaid
MI2601832Medicaid
MI0P39800Medicare PIN