Provider Demographics
NPI:1871224717
Name:SEBHO, VICTORIA MEHARI
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MEHARI
Last Name:SEBHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3328 PARKFORD MANOR TER # A
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6155
Mailing Address - Country:US
Mailing Address - Phone:312-882-5231
Mailing Address - Fax:
Practice Address - Street 1:100 GLASSWORKS BLVD
Practice Address - Street 2:
Practice Address - City:CLIFFWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07721-1348
Practice Address - Country:US
Practice Address - Phone:312-882-5231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA12699000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine