Provider Demographics
NPI:1154819340
Name:ABLA, SARAH ADNAN (DO)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ADNAN
Last Name:ABLA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 26666
Mailing Address - Street 2:PHS PROVIDER ENROLLMENT
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-6666
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5500 WYOMING BLVD NE
Practice Address - Street 2:FAMILY MEDICINE
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3167
Practice Address - Country:US
Practice Address - Phone:505-462-6600
Practice Address - Fax:505-462-6641
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2024-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMDO2021-0014207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine