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NPI Code Detail

MEDICARE: SARAH SABOORI

MEDICARE:   SARAH  SABOORI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA0425NV

General Provider Information

NPI Number : 1508320953
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH SABOORI
Provider Business Mailing Address
First Line : 3186 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3186 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2317
Country : US
Telephone Number : 702-961-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2019
Last Update Date : 03/26/2026

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Directions to “ SARAH SABOORI ” Practice Location

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