Provider Demographics
NPI:1992724579
Name:SABNIS, LATA U (MD)
Entity type:Individual
Prefix:DR
First Name:LATA
Middle Name:U
Last Name:SABNIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 604
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-5982
Mailing Address - Fax:585-756-0169
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 604
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-5982
Practice Address - Fax:585-756-0169
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY161036207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2222OtherBLUE SHIELD GROUP
NY01034808Medicaid
NYG0189393590OtherBLUE CHOICE GROUP
NY000912389001OtherBS WNY/HEALTHNOW
NY00040469801OtherUNIVERA
NY7924227OtherAETNA
NYMDA536OtherPREFERRED CARE
NY050012011OtherRAILROAD MEDICARE
NYP010161036OtherBLUE CHOICE