Provider Demographics
NPI:1215904362
Name:SABIO, ARTURO BICASAN (MD)
Entity type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:BICASAN
Last Name:SABIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:WV
Mailing Address - Zip Code:26601-1315
Mailing Address - Country:US
Mailing Address - Phone:304-765-5943
Mailing Address - Fax:304-765-4003
Practice Address - Street 1:196 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:WV
Practice Address - Zip Code:26601-1315
Practice Address - Country:US
Practice Address - Phone:304-765-5943
Practice Address - Fax:304-765-4003
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV11242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
4421129OtherAENTA
00203375OtherFEDERAL BLACK LUNG
WV1022507OtherWORKER'S COMPENSATION
WV59860OtherUNICARE HEALTH PLANS
WV0048858000Medicaid
WV11242OtherSTATE LICENSE
9190971Medicare ID - Type Unspecified
WV0048858000Medicaid
411013532Medicare PIN
WV1022507OtherWORKER'S COMPENSATION
WV11242OtherSTATE LICENSE