Individual provider · Type 1 NPI

Sabena Juzer Modi-Masood, PA-C

Physician Assistant · Waldorf, MD

NPI number 1619386471 Active

Practice location

102 Paul Mellon Ct Suite 102
Waldorf, MD 20602-2788

Fax (301) 645-7997

Mailing address

1650 Ramblewood Dr
East Lansing, MI 48823-7396

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XC0005435 (MD)
Physician Assistant Primary 363A00000X5601006961 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619386471

Sabena Juzer Modi-Masood, PA-C's National Provider Identifier is 1619386471, issued on Aug 6, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waldorf, MD. The record was last updated on Apr 4, 2018.