Provider Demographics
NPI:1356624522
Name:SABA MEDICAL CARE LLC
Entity type:Organization
Organization Name:SABA MEDICAL CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SABA
Authorized Official - Middle Name:W
Authorized Official - Last Name:TESFAMARIAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-776-9174
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85380-0429
Mailing Address - Country:US
Mailing Address - Phone:623-776-9174
Mailing Address - Fax:
Practice Address - Street 1:6345 E BELL RD
Practice Address - Street 2:STE 4
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6452
Practice Address - Country:US
Practice Address - Phone:623-776-9174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30527208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty