Provider Demographics
NPI:1871529461
Name:PASHA, SABIHA (MD)
Entity type:Individual
Prefix:
First Name:SABIHA
Middle Name:
Last Name:PASHA
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 1:300 CARLSBAD VILLAGE DR STE 108A-133
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2900
Mailing Address - Country:US
Mailing Address - Phone:858-382-1737
Mailing Address - Fax:
Practice Address - Street 1:2424 VISTA WAY STE 106
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6178
Practice Address - Country:US
Practice Address - Phone:858-382-1737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50413207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG09633Medicare UPIN
CAP00303810Medicare ID - Type UnspecifiedMEDICARE RAILROAD
CAWC50413DMedicare PIN