Sobhan, Sabur

Sobhan, Sabur is an individual health care provider with primary practice located at 4924 Maccorkle Ave Se , Charleston WV 25304. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Sobhan, Sabur can be contacted via phone (304) 925-1050.

Contact Information

Primary practice address
4924 Maccorkle Ave Se Charleston WV 25304
Phone: (304) 925-1050
Fax: (304) 925-0581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 01787 West Virginia

Profile Details

NPI number 1770906562
LBN Legal business name Sobhan, Sabur
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2014
Last updated Sep 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770906562 NPPES
West Virginia MEDICAID 6485A

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