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
101 S CANAL ST, CARLSBAD, NM 88220-5713
(575) 234-1471
(575) 234-1473
Mailing address
PO BOX 1574, ROSWELL, NM 88202-1574
(575) 627-9508
(877) 749-7764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2012-0215
NM
207RH0003X
Hematology & Oncology Physician
Primary
96299
NM
207RH0003X
Hematology & Oncology Physician
MD2011-0742
NM
207RH0003X
Hematology & Oncology Physician
MD2012-0091
NM
207RR0500X
Rheumatology Physician
MD2012-0244
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z2565
—
NM
Enumeration date
10/14/2010
Last updated
04/24/2013
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