Provider Demographics
NPI:1265604425
Name:U. K. SAB, M.D., INC.
Entity type:Organization
Organization Name:U. K. SAB, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:UMESH
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-368-2371
Mailing Address - Street 1:80 ARCH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1487
Mailing Address - Country:US
Mailing Address - Phone:650-368-2371
Mailing Address - Fax:650-368-6872
Practice Address - Street 1:80 ARCH ST
Practice Address - Street 2:SUITE A
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1487
Practice Address - Country:US
Practice Address - Phone:650-368-2371
Practice Address - Fax:650-368-6872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34184207RR0500X, 207K00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6445240001Medicare NSC
CAZZZ31770ZMedicare PIN
CAA88055Medicare UPIN