Provider Demographics
NPI:1184884801
Name:CHAVEZ, SAHAR AMELIA (MD)
Entity type:Individual
Prefix:DR
First Name:SAHAR
Middle Name:AMELIA
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 MCMAHON BLVD NW
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-5090
Mailing Address - Country:US
Mailing Address - Phone:505-727-7274
Mailing Address - Fax:505-727-4030
Practice Address - Street 1:4801 MCMAHON BLVD NW
Practice Address - Street 2:SUITE 110
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-5090
Practice Address - Country:US
Practice Address - Phone:505-727-7274
Practice Address - Fax:505-727-4030
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2012-0076207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM2859866Medicaid
NM2859866Medicaid