Individual
MASOUD KHORSAND-SAHBAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 627-9110
(575) 627-9535
Mailing address
PO BOX 1574, ROSWELL, NM 88202-1574
(575) 627-9500
(575) 627-9535
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
96299
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932187044
GROUP NPI
NM
01
—
800521089
MCR GROUP ID
NM
01
—
830004210
RR MEDICARE
—
05
—
P6399
—
NM
Enumeration date
10/11/2005
Last updated
01/26/2017
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