MASOUD KHORSAND-SAHBAIE, MD PA (NPI# 1053621060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053621060 |
| Entity Type | Organization |
| Organization Name | MASOUD KHORSAND-SAHBAIE, MD PA |
| Other Organization Name | KYMERA INDEPENDENT PHYSICIANS |
| Practice Address |
3028 N. Grimes Hobbs NM 88241 |
| Mailing Address |
Po Box 1574 Roswell NM 88202-1574 |
| Practice Telephone | 5753920222 |
| Practice Fax Number | 5753920200 |
| Mailing Telephone | 5756279505 |
| Mailing Fax Number | 8777497764 |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | BRENDA COTTRELL (BUSINESS SYSTEMS/CREDENTIALING MGR) |
| Authorized Official Telephone | 5756279508 |
| Is Organization Subpart | Y |
| Parent Organization Name | MASOUD KHORSAND-SAHBAIE, MD PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
96299 | NM | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD2012-0091 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | Z2565 | 05 |
| Other Name | Type Code |
|---|---|
| Kymera Independent Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194169011 | Masoud Khorsand-sahbaie, Md Pa | Internal Medicine | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2013-04-22 |
| 1518277417 | Masoud Khorsand-sahbaie, Md Pa | Internal Medicine | 101 S Canal St, Carlsbad, NM 88220-5713 | 2010-10-14 |
| Street Address |
3028 N. GRIMES |
| City | HOBBS |
| State | NM |
| Zip Code | 88241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180608 | Lea Ot Services LLC | Occupational Therapist | 1406 W Caprock St, Hobbs, NM 88240-1064 | 2020-09-24 |
| 1912512088 | Zia Family Health and Pharmacy | Pharmacy | 305 E Sanger St Ste F, Hobbs, NM 88240-4405 | 2020-09-15 |
| 1700499035 | Geraldlynn Anderson | Specialist/Technologist | 610 W Bender Blvd Ste 1300, Hobbs, NM 88240-2241 | 2020-08-26 |
| 1619516358 | Permian Basin Brain Works Inc | Nurse Practitioner | 1601 N Turner St Ste 405, Hobbs, NM 88240-4331 | 2019-12-28 |
| 1285279562 | Jared Sloan | Counselor | 221 S Ryco Ln, Hobbs, NM 88240-9289 | 2019-11-11 |
| 1184285066 | Change4greatness LLC | Social Worker | 208 N Turner St Ste A, Hobbs, NM 88240-8404 | 2019-06-22 |
| 1154981249 | Mary Ann Pratt | Registered Nurse | 1123 E Green Acres Dr, Hobbs, NM 88240-4727 | 2019-06-19 |
| 1477111482 | Southeast New Mexico Podiatry Associates Inc | Durable Medical Equipment & Medical Supplies | 5419 N Lovington Hwy Ste 9, Hobbs, NM 88240-9135 | 2019-06-04 |
| 1427510585 | Sarah Marie Beauplan | Speech-Language Pathologist | 2500 N Jefferson St, Hobbs, NM 88240-1506 | 2019-04-05 |
| 1023574019 | Marcela Alba-avila | Social Worker | 206 W Snyder St, Hobbs, NM 88240-8351 | 2019-02-14 |
| Find all providers in HOBBS | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1962799775 | Sardar Zakariya Imam | Internal Medicine | 2325 E 30th St, Farmington, NM 87401-8900 | 2011-06-30 |
| 1336447440 | Jacob Amir | Internal Medicine | 5 Enmedio Pl, Santa Fe, NM 87508-2156 | 2011-03-14 |
| 1033435490 | Heloisa Prado Soares | Internal Medicine | Msc07 4025 1 University of Nm, Albuquerque, NM 87131-9416 | 2010-04-10 |
| 1427298520 | Ramadevi Medavarapu | Internal Medicine | 4391 E Lohman Ave, Las Cruces, NM 88011 | 2009-03-02 |
| 1881711877 | St. Vincent Hospital | Internal Medicine | 490 W Zia Rd, A, Santa Fe, NM 87505-6996 | 2007-03-23 |
| 1477693554 | Ikenna C Osuorji | Internal Medicine | 4050 Northrise Dr, Las Cruces, NM 88011-7327 | 2007-02-07 |
| 1801972518 | Jeffrey D Neidhart | Internal Medicine | 735 W. Animas Street, Farmington, NM 87401 | 2006-10-27 |
| 1487743092 | Wadih Arap | Internal Medicine | 1 University of New Mexico Msc 07 4025, 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-10-12 |
| 1114990298 | Murray M Bern | Internal Medicine | Unm Cancer Ctr, Msc 07-4025 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-02-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.