Provider Demographics
NPI:1174573505
Name:NAGARWALA, SABEEHA HASAN (MD)
Entity type:Individual
Prefix:DR
First Name:SABEEHA
Middle Name:HASAN
Last Name:NAGARWALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-4144
Mailing Address - Country:US
Mailing Address - Phone:952-232-1646
Mailing Address - Fax:
Practice Address - Street 1:ABBOTT NORTHWESTERN HOSPITAL
Practice Address - Street 2:800 EAST 28TH ST
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3799
Practice Address - Country:US
Practice Address - Phone:612-863-5213
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48308207R00000X
NJ25MA07959200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine