Provider Demographics
NPI:1992036024
Name:SABER, MONA EMAM
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:EMAM
Last Name:SABER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 JONES ST APT 901
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3937
Mailing Address - Country:US
Mailing Address - Phone:415-359-4751
Mailing Address - Fax:
Practice Address - Street 1:111 JONES ST APT 901
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3937
Practice Address - Country:US
Practice Address - Phone:415-359-4751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program