Provider Demographics
NPI:1942232657
Name:SABO, STEPHEN W (DO)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:W
Last Name:SABO
Suffix:
Gender:M
Credentials:DO
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Other - Last Name:
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Mailing Address - Street 1:P.O. BOX 72384
Mailing Address - Street 2:RADIOLOGY ASSOCIATES OF CANTON, INC.
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44192
Mailing Address - Country:US
Mailing Address - Phone:888-686-1837
Mailing Address - Fax:330-686-5928
Practice Address - Street 1:2600 6TH ST SW
Practice Address - Street 2:RADIOLOGY ASSOCIATES OF CANTON, INC
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44710-1702
Practice Address - Country:US
Practice Address - Phone:330-363-2842
Practice Address - Fax:330-580-5536
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH0043532085R0202X
OH34.0043532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0875316Medicaid
OHP00601454OtherRAILROAD MEDICARE
OHP00601454OtherRAILROAD MEDICARE
OH0786056Medicare UPIN