Basic Information
| Provider Information | |||||||||
| NPI: | 1326401787 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SABERINIA | ||||||||
| FirstName: | HOOMAN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 555 WILLARD AVE | ||||||||
| Address2: | |||||||||
| City: | NEWINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061112631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8608087921 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2323 BROADWAY | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946122414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038672786 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2016 | ||||||||
| LastUpdateDate: | 08/16/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0101266346 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 63629 | CT | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | A178812 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.