Provider Demographics
NPI:1093777641
Name:KHADIM, SABIHA S (MD)
Entity type:Individual
Prefix:DR
First Name:SABIHA
Middle Name:S
Last Name:KHADIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8101
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-0119
Mailing Address - Country:US
Mailing Address - Phone:863-471-2505
Mailing Address - Fax:863-471-2565
Practice Address - Street 1:6801 US HIGHWAY 27 N STE A4
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1000
Practice Address - Country:US
Practice Address - Phone:863-471-2505
Practice Address - Fax:863-471-2565
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92877207L00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272978400Medicaid
FL37080OtherBCBS
FLU6104AMedicare UPIN
FL6349040001Medicare NSC
FL37080OtherBCBS