Healthcare Provider Details

I. General information

NPI: 1609970631
Provider Name (Legal Business Name): AISHA SABIR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 N STATE ST
CONCORD NH
03301-3227
US

IV. Provider business mailing address

3 WATERFORD WAY UNIT 306
MANCHESTER NH
03102-8115
US

V. Phone/Fax

Practice location:
  • Phone: 603-271-1844
  • Fax:
Mailing address:
  • Phone: 603-264-2127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number12318
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: