Organization
MASOUD KHORSAND-SAHBAIE, MD PA
Active
Parent organization
MASOUD KHORSAND-SAHBAIE, MD PA
Other names
Kymera Independent Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASOUD KHORSAND-SAHBAIE, MD PA
Authorized official
BRENDA COTTRELL (BUSINESS SYSTEMS/CREDENTIALING MGR)
(575) 627-9508
Entity
Organization
Contact information
Practice address
402 W COUNTRY CLUB RD, ROSWELL, NM 88201-5247
(575) 627-9500
(575) 627-9535
Mailing address
PO BOX 1574, ROSWELL, NM 88202-1574
(575) 627-9508
(877) 749-7764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2011-0207
NM
207R00000X
Internal Medicine Physician
89-280
NM
207R00000X
Internal Medicine Physician
MD2009-0514
NM
207R00000X
Internal Medicine Physician
MD2012-0215
NM
363L00000X
Nurse Practitioner
CNP-01000
NM
363LF0000X
Family Nurse Practitioner
CNP-01933
NM
363LF0000X
Family Nurse Practitioner
CNP-02125
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z2565
—
NM
Enumeration date
04/22/2013
Last updated
04/22/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us