Basic Information
Provider Information
NPI: 1134524853
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CABERTO
FirstName: SHERYL
MiddleName: CABABAT
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1365 CLIFTON RD NE BLDG A
Address2:  
City: ATLANTA
State: GA
PostalCode: 303221013
CountryCode: US
TelephoneNumber: 4047785380
FaxNumber:  
Practice Location
Address1: 1648 PIERCE DR NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 30307
CountryCode: US
TelephoneNumber: 4047276123
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/23/2014
LastUpdateDate: 02/06/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X-GAY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


Home