Provider Demographics
NPI:1841730272
Name:SABA MEDICAL CARE PC
Entity type:Organization
Organization Name:SABA MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALIREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRVANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-418-6942
Mailing Address - Street 1:33 HOFSTRA DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1814
Mailing Address - Country:US
Mailing Address - Phone:516-418-6942
Mailing Address - Fax:516-407-5498
Practice Address - Street 1:287 NORTHERN BLVD STE 108
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4717
Practice Address - Country:US
Practice Address - Phone:516-418-6942
Practice Address - Fax:516-407-5498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-04
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270376207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1841730272OtherNPI
NY1073769154OtherNPI