Provider Demographics
NPI:1750561569
Name:SABAT, SHYAMSUNDER BRINDAVAN (MD)
Entity type:Individual
Prefix:
First Name:SHYAMSUNDER
Middle Name:BRINDAVAN
Last Name:SABAT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100374
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0374
Mailing Address - Country:US
Mailing Address - Phone:352-265-0296
Mailing Address - Fax:352-265-0292
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610
Practice Address - Country:US
Practice Address - Phone:352-265-0296
Practice Address - Fax:352-265-0292
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4358102085R0202X, 2085N0700X
KY529272085R0202X, 2085N0700X
FLME1367702085R0202X, 2085N0700X
MI43015003472085R0202X, 2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology