Provider Demographics
NPI:1780698019
Name:ZEB, SARAH (MD)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:ZEB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12755 MARYVALE CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1269
Mailing Address - Country:US
Mailing Address - Phone:410-531-9949
Mailing Address - Fax:
Practice Address - Street 1:695 DUTCHESS TPKE
Practice Address - Street 2:SUITE 105
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-6442
Practice Address - Country:US
Practice Address - Phone:888-647-5979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD616722085R0202X
WV209972085R0202X
NY2361662085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY906T0WQ111OtherMEDICARE
MDI06953Medicare UPIN