Provider Demographics
NPI:1174681332
Name:KABIR, SAIF (M S , CCC- A)
Entity Type:Individual
Prefix:
First Name:SAIF
Middle Name:
Last Name:KABIR
Suffix:
Gender:M
Credentials:M S , CCC- A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17050 CHATSWORTH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5967
Mailing Address - Country:US
Mailing Address - Phone:818-488-9303
Mailing Address - Fax:
Practice Address - Street 1:17050 CHATSWORTH ST STE 103
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5967
Practice Address - Country:US
Practice Address - Phone:818-488-9303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X
CAAU 2065231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWAU2065AMedicare PIN