Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD071754L | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD071754L | PA |
NPI | 1154393072 |
---|---|
Provider Name | Michael P Sabadish |
First Address | Thorndale, PA 19372-1131 |
Second Address | Thorndale, PA 19372-1131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 19/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1012356120001 | (05) | PA |
2404325000 | INDEPENDENCE BLUE CROSS (01) | PA |
I25572 | (02) | PA |