Provider Demographics
NPI:1861698250
Name:SABOUNI, DOUHA (MD)
Entity type:Individual
Prefix:
First Name:DOUHA
Middle Name:
Last Name:SABOUNI
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 1:2925 WILLIAM PENN HWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5283
Mailing Address - Country:US
Mailing Address - Phone:610-991-0150
Mailing Address - Fax:610-991-0155
Practice Address - Street 1:2925 WILLIAM PENN HWY
Practice Address - Street 2:SUITE 104
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5283
Practice Address - Country:US
Practice Address - Phone:610-991-0150
Practice Address - Fax:610-991-0155
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD441542207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102624651 001Medicaid
PA102624651 001Medicaid