Provider Demographics
NPI:1760796734
Name:SABIA, EIAD (MD)
Entity Type:Individual
Prefix:DR
First Name:EIAD
Middle Name:
Last Name:SABIA
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 1:1145 S UTICA AVE
Mailing Address - Street 2:SUITE 460
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4000
Mailing Address - Country:US
Mailing Address - Phone:918-579-5749
Mailing Address - Fax:918-560-5791
Practice Address - Street 1:1145 S UTICA AVE
Practice Address - Street 2:SUITE 460
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4000
Practice Address - Country:US
Practice Address - Phone:918-579-5749
Practice Address - Fax:918-560-5791
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK31222207R00000X
NC2016-01958207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine