Provider Demographics
NPI:1790797793
Name:SABET, SINA JOHN (MD, FACS)
Entity type:Individual
Prefix:DR
First Name:SINA
Middle Name:JOHN
Last Name:SABET
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5130 DUKE ST
Mailing Address - Street 2:SUITE #9
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2906
Mailing Address - Country:US
Mailing Address - Phone:703-370-9411
Mailing Address - Fax:571-431-6778
Practice Address - Street 1:5130 DUKE ST
Practice Address - Street 2:SUITE #9
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-2906
Practice Address - Country:US
Practice Address - Phone:703-370-9411
Practice Address - Fax:571-431-6778
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD89540207W00000X
DCMD037775207ZP0102X
VA0101056974207WX0009X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6309291Medicaid
G55670Medicare UPIN
VAG00763Medicare ID - Type Unspecified
DC166990YT2Medicare PIN