Provider Demographics
NPI:1902081862
Name:FARID SABET M.D. INC
Entity Type:Organization
Organization Name:FARID SABET M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-543-6688
Mailing Address - Street 1:PO BOX 23145
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-0145
Mailing Address - Country:US
Mailing Address - Phone:440-543-6688
Mailing Address - Fax:440-543-6688
Practice Address - Street 1:23240 CHAGRIN BLVD
Practice Address - Street 2:BUILDING 4, SUITE 610
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5404
Practice Address - Country:US
Practice Address - Phone:216-292-3530
Practice Address - Fax:216-292-3840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35057452S2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9256021Medicare UPIN
OH9256021Medicare PIN