Provider Demographics
NPI:1548714892
Name:SABHA, MARWA (MD)
Entity type:Individual
Prefix:
First Name:MARWA
Middle Name:
Last Name:SABHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4660 WILKENS AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-4846
Mailing Address - Country:US
Mailing Address - Phone:410-650-4121
Mailing Address - Fax:877-763-4971
Practice Address - Street 1:4660 WILKENS AVE STE 205
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-4846
Practice Address - Country:US
Practice Address - Phone:410-650-4121
Practice Address - Fax:877-763-4971
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD92747207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD92747OtherLICENSE