Provider Demographics
NPI:1477055200
Name:SAHIBY, MIR A (SURGICAL ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:MIR
Middle Name:A
Last Name:SAHIBY
Suffix:
Gender:M
Credentials:SURGICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 SKYLINE DR APT 535
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-2899
Mailing Address - Country:US
Mailing Address - Phone:469-920-9134
Mailing Address - Fax:
Practice Address - Street 1:2000 SKYLINE DR APT 535
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-2899
Practice Address - Country:US
Practice Address - Phone:469-920-9134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4788246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant