Basic Information
Provider Information
NPI: 1972891844
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SBITA
FirstName: SARAH
MiddleName: JEYHAN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 641 HILL RD N
Address2: SUITE A
City: PICKERINGTON
State: OH
PostalCode: 431479346
CountryCode: US
TelephoneNumber: 6148330880
FaxNumber: 6148336767
Practice Location
Address1: 641 HILL RD N
Address2: SUITE A
City: PICKERINGTON
State: OH
PostalCode: 431479346
CountryCode: US
TelephoneNumber: 6148330880
FaxNumber: 6148336767
Other Information
ProviderEnumerationDate: 07/13/2011
LastUpdateDate: 09/22/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X35.123857OHY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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