Provider Demographics
NPI:1962428326
Name:SARBAH, STEEDMAN A (MD)
Entity type:Individual
Prefix:DR
First Name:STEEDMAN
Middle Name:A
Last Name:SARBAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9330 PARK WEST BLVD STE 508
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4313
Mailing Address - Country:US
Mailing Address - Phone:865-373-7975
Mailing Address - Fax:865-373-9008
Practice Address - Street 1:9330 PARK WEST BLVD STE 508
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4313
Practice Address - Country:US
Practice Address - Phone:865-373-7975
Practice Address - Fax:865-373-9008
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2940321205207R00000X
OH35069227207RG0100X, 207RI0008X
TNMD50235207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ002105Medicaid