Kymera Independent Physicians

LBN: Masoud Khorsand-Sahbaie, Md Pa
Kymera Independent Physicians is an health care organization with primary practice located at 402 W Country Club Rd , Roswell NM 88201-5247. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Masoud Khorsand-Sahbaie, Md Pa can be contacted via phone (575) 627-9500, or through Cottrell, Brenda via phone (575) 627-9508.

Contact Information

Primary practice address
402 W Country Club Rd Roswell NM 88201-5247
Phone: (575) 627-9500
Fax: (575) 627-9535
Website:
Map and Directions
Authorized official contact:
Name: Cottrell, Brenda
Phone: (575) 627-9508

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2011-0207 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2012-0215 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2009-0514 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 89-280 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP-01000 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-01933 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-02125 New Mexico

Profile Details

NPI number 1194169011
LBN Legal business name Masoud Khorsand-Sahbaie, Md Pa
DBA Doing business as Kymera Independent Physicians
Authorized official Cottrell, Brenda
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 22nd, 2013
Last updated Apr 22nd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194169011 NPPES
New Mexico MEDICAID Z2565

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