Provider Demographics
NPI:1992998314
Name:SABRI E. SEN MD INC
Entity type:Organization
Organization Name:SABRI E. SEN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SABRI
Authorized Official - Middle Name:ENGIN
Authorized Official - Last Name:SEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-812-4431
Mailing Address - Street 1:3903 LONE TREE WAY
Mailing Address - Street 2:SUITE: 310
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-6249
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3903 LONE TREE WAY
Practice Address - Street 2:SUITE: 310
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-6249
Practice Address - Country:US
Practice Address - Phone:612-812-4431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center