Basic Information
Provider Information | |||||||||
NPI: | 1720168503 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | SABNIS | ||||||||
FirstName: | ADHEESH | ||||||||
MiddleName: | ASHOK | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D., F.A.C.S. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 505 RESERVE CHAMPION DR | ||||||||
Address2: |   | ||||||||
City: | ROCKVILLE | ||||||||
State: | MD | ||||||||
PostalCode: | 208505718 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2127966336 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 700 2ND ST NE | ||||||||
Address2: |   | ||||||||
City: | WASHINGTON | ||||||||
State: | DC | ||||||||
PostalCode: | 200028100 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2023463000 | ||||||||
FaxNumber: | 2023463378 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 10/16/2006 | ||||||||
LastUpdateDate: | 11/30/2021 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 11/30/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | D0067585 | MD | N |   | Allopathic & Osteopathic Physicians | Surgery |   | 208600000X | 243093 | NY | N |   | Allopathic & Osteopathic Physicians | Surgery |   | 208600000X | 35.084852 | OH | N |   | Allopathic & Osteopathic Physicians | Surgery |   | 208600000X | 2016-01879 | NC | N |   | Allopathic & Osteopathic Physicians | Surgery |   | 208600000X | 0101262598 | VA | N |   | Allopathic & Osteopathic Physicians | Surgery |   | 208600000X | MD034387 | DC | Y |   | Allopathic & Osteopathic Physicians | Surgery |   |
No ID Information.