Individual
FARAZ MOHAMMAD SABIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 647-6475
Mailing address
175 PLATT AVE, WEST HAVEN, CT 06516-5624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3784
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3784
CONNECTICUT STATE PHYSICIAN ASSISTANT LICENSE
CT
Enumeration date
02/21/2017
Last updated
02/21/2017
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