Provider Demographics
NPI:1235456377
Name:ASAR, SABERA M (MD)
Entity Type:Individual
Prefix:
First Name:SABERA
Middle Name:M
Last Name:ASAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SABERA
Other - Middle Name:M
Other - Last Name:PIRMOHAMED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1110
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12201-1110
Mailing Address - Country:US
Mailing Address - Phone:631-913-8047
Mailing Address - Fax:
Practice Address - Street 1:315 S MANNING BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1707
Practice Address - Country:US
Practice Address - Phone:518-525-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262256207R00000X
CT053849207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03545613Medicaid