Provider Demographics
NPI:1255445904
Name:SABEK, SAYED (MD)
Entity type:Individual
Prefix:
First Name:SAYED
Middle Name:
Last Name:SABEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:SABEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1013 E FERGUSON AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-7202
Mailing Address - Country:US
Mailing Address - Phone:734-277-6197
Mailing Address - Fax:
Practice Address - Street 1:1050 N CHERRY ST
Practice Address - Street 2:TULARE VA CLINIC
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274
Practice Address - Country:US
Practice Address - Phone:559-684-8703
Practice Address - Fax:559-248-5329
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301078618207P00000X, 207Q00000X
OH35085073207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0805610332OtherBC BS OF MI
OH2723940Medicaid
MI1255445904Medicaid
OHSA4197613Medicare PIN
OH4197611Medicare PIN
I01595Medicare UPIN
MI1255445904Medicaid
MIMI1609002Medicare PIN