Provider Demographics
NPI:1295924611
Name:SAHBA, AHOO SHARIF (MD)
Entity type:Individual
Prefix:DR
First Name:AHOO
Middle Name:SHARIF
Last Name:SAHBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AHOO
Other - Middle Name:TALA
Other - Last Name:SHARIF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:21231 HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503
Mailing Address - Country:US
Mailing Address - Phone:310-792-4734
Mailing Address - Fax:
Practice Address - Street 1:21231 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:310-792-4734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA107579208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics