Provider Demographics
NPI:1811549710
Name:AMEEN, SABAT (MD)
Entity Type:Individual
Prefix:DR
First Name:SABAT
Middle Name:
Last Name:AMEEN
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 1:300 WINDING WOODS DR STE 120
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-4772
Mailing Address - Country:US
Mailing Address - Phone:636-978-7902
Mailing Address - Fax:
Practice Address - Street 1:300 WINDING WOODS DR STE 120
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-4772
Practice Address - Country:US
Practice Address - Phone:636-978-7902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019024155208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics