Individual
SAHAR HEYDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA12628
TX
363AM0700X
Medical Physician Assistant
Primary
PA12628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398448603
—
TX
01
—
398448604
CSHCN
TX
Enumeration date
01/02/2019
Last updated
07/03/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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