Provider Demographics
NPI:1841590353
Name:SABU, SEEMA (PA-C)
Entity Type:Individual
Prefix:
First Name:SEEMA
Middle Name:
Last Name:SABU
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1190 SPRING CREEK PL
Mailing Address - Street 2:STE E1
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-6002
Mailing Address - Country:US
Mailing Address - Phone:801-822-2234
Mailing Address - Fax:855-894-1638
Practice Address - Street 1:1020 TIJERAS AVE NE STE 22
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4749
Practice Address - Country:US
Practice Address - Phone:505-727-1670
Practice Address - Fax:505-727-9590
Is Sole Proprietor?:No
Enumeration Date:2010-10-31
Last Update Date:2024-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMPA2010-0047363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant