Provider Demographics
NPI:1376834333
Name:AHMAD SAGHER, OBAID (PA)
Entity type:Individual
Prefix:
First Name:OBAID
Middle Name:
Last Name:AHMAD SAGHER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:MR
Other - First Name:OBAID
Other - Middle Name:
Other - Last Name:AHMAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:7106 SUTTON PL FL 3
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-4135
Mailing Address - Country:US
Mailing Address - Phone:917-846-7869
Mailing Address - Fax:
Practice Address - Street 1:7106 SUTTON PLACE FL 3
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365
Practice Address - Country:US
Practice Address - Phone:917-846-7869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014588-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant