Provider Demographics
NPI:1801995840
Name:SABBAGH, RITA A (MD)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:A
Last Name:SABBAGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:18459 CLAIRMONT CIR E
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-8537
Mailing Address - Country:US
Mailing Address - Phone:248-442-2222
Mailing Address - Fax:248-442-2225
Practice Address - Street 1:19924 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1409
Practice Address - Country:US
Practice Address - Phone:248-442-2222
Practice Address - Fax:248-442-2225
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301071291207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4639712Medicaid
MII20065Medicare UPIN
MI0N18910Medicare PIN