Provider Demographics
NPI:1295046746
Name:SABBAGH, PETER MILAD (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:MILAD
Last Name:SABBAGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42557 WOODWARD AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-5206
Mailing Address - Country:US
Mailing Address - Phone:248-322-3088
Mailing Address - Fax:248-322-4175
Practice Address - Street 1:3100 CROSS CREEK PKWY STE 210B
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-2776
Practice Address - Country:US
Practice Address - Phone:248-335-1110
Practice Address - Fax:248-335-6129
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301096796207R00000X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI4989554OtherMEDICARE PTAN EFFECTIVE 07/01/2017
MI1295023547OtherGROUP NPI MHP
MI45-1674932OtherGROUP TAX ID MHP DBA: OAKLAND LUNG & SLEEP SPECIALIST