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MASOUD KHORSAND-SAHBAIE MD PA NPI 1194169011


NPI Information

NPI: 1194169011
Provider Name: MASOUD KHORSAND-SAHBAIE, MD PA

Doing Business As: KYMERA INDEPENDENT PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
402 W COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201
Phone: (575) 627-9500
Get Directions

MASOUD KHORSAND-SAHBAIE, MD PA is a family medicine in Roswell, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MASOUD KHORSAND-SAHBAIE, MD PA NPI is 1194169011. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kymera Independent Physicians.

The provider's business location address is:

402 W COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201-247
Phone: (575) 627-9500
Fax: (575) 627-9535

The provider's authorized official is Brenda Cottrell .
The authorized official title is Business Systems/credentialing Mgr and has the following contact phone number (575) 627-9508.

The enumeration date for this NPI number is 4/22/2013 and was last updated on 4/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMD2012-0215NEW MEXICONo
2207R00000XInternal MedicineMD2009-0514NEW MEXICONo
3207R00000XInternal Medicine89-280NEW MEXICONo
4363L00000XNurse PractitionerCNP-01000NEW MEXICONo
5363LF0000XNurse PractitionerFamilyCNP-01933NEW MEXICONo
6363LF0000XNurse PractitionerFamilyCNP-02125NEW MEXICONo
7207Q00000XFamily MedicineMD2011-0207NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z2565MEDICAIDNEW MEXICO
2800521089MEDICARE PINNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.