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Contact Information

MASOUD KHORSAND- SAHBAIE MD P A
400 MILITARY HEIGHTS PL
ROSWELL, NM88201-6407
 Phone: 575-627-9500
 Fax: 877-749-7764
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MASOUD KHORSAND- SAHBAIE MD P A

NPI # 1932187044
LBN Legal business name MASOUD KHORSAND- SAHBAIE MD P A
Authorized official MASOUD KHORSAND-SAHBAIE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2006
Last updated 06/12/2023 - About 3 years ago
Identifiers
NM License # 96299
NM License # MD2007-0020
NM License # MD2011-0742
NM License # MD2012-0244
NM License # ST96299
NM Other Z2565 MEDICAID GROUP NUMBER
NM Other 800521089 MEDICARE GROUP #
NM Other 1238400001 PALMETTO GBA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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