NPI 1780201145 · live from the CMS NPI Registry
Sabrina Marie Azavedo, MD
Family Medicine in Elkhorn, WI. National Provider Identifier 1780201145, active.
NPI record
| NPI | 1780201145 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | W3985 County Road Nn, Elkhorn, WI 53121 |
| Practice phone | 262-741-2121 |
| Mailing address | 1009 W Juneau Ave Apt 309, Milwaukee, WI 53233 |
| Enumerated | July 1, 2020 |
| Last updated | June 25, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice | 208D00000X | T-4138 (MS) |
| Emergency Medicine | 207P00000X | T-4138 (MS) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — (WI) |
| General Practice | 208D00000X | 0101274241 (VA) |
| Family Medicine primary | 207Q00000X | 10029-851 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.