Provider Demographics
NPI:1306962139
Name:SABA & ASSOCIATES, M.D., P.A.
Entity type:Organization
Organization Name:SABA & ASSOCIATES, M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:MINK
Authorized Official - Last Name:SABA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-363-4900
Mailing Address - Street 1:5 PARK CENTER CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4201
Mailing Address - Country:US
Mailing Address - Phone:410-363-4900
Mailing Address - Fax:410-363-9426
Practice Address - Street 1:5 PARK CENTER CT
Practice Address - Street 2:SUITE 200
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4201
Practice Address - Country:US
Practice Address - Phone:410-363-4900
Practice Address - Fax:410-363-9426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR045911363LA2200X
MDD0055867261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG18997Medicare UPIN
MD667LMedicare PIN
MDH35192Medicare UPIN
MDR09046Medicare UPIN
MDH31857Medicare UPIN
MDH21261Medicare UPIN
MDP46081Medicare UPIN