Individual
SAHBA ENTESSARI MAANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 KILDAIRE PARK DR, CARY, NC 27518-8162
(919) 235-6450
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2017-01592
NC
207RP1001X
Pulmonary Disease Physician
21070
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125569
—
AZ
05
—
1952308686
—
NC
Enumeration date
07/07/2005
Last updated
01/23/2023
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