Provider Demographics
NPI:1952335150
Name:SABA, JOANNA MINK (MD)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:MINK
Last Name:SABA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:KATHLEEN
Other - Last Name:MINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 PARK CENTER COURT
Mailing Address - Street 2:SUITE 200 203
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117
Mailing Address - Country:US
Mailing Address - Phone:410-363-4900
Mailing Address - Fax:410-363-9426
Practice Address - Street 1:5 PARK CENTER COURT
Practice Address - Street 2:SUITE 200 203
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117
Practice Address - Country:US
Practice Address - Phone:410-363-4900
Practice Address - Fax:410-363-9426
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0055867207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H35192Medicare UPIN
MD667LMedicare ID - Type Unspecified