Basic Information
| Provider Information | |||||||||
| NPI: | 1013172485 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AMERY | ||||||||
| FirstName: | SAHAR | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10931 RAVEN RIDGE RD | ||||||||
| Address2: | STE 109 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276146499 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6307252730 | ||||||||
| FaxNumber: | 8442055691 | ||||||||
| Practice Location | |||||||||
| Address1: | 315 S MANNING BLVD | ||||||||
| Address2: | |||||||||
| City: | ALBANY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 12208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185251550 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2008 | ||||||||
| LastUpdateDate: | 10/15/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 202K00000X | 201202072 | NC | N | Allopathic & Osteopathic Physicians | Phlebology | 202K00000X | 0101263973 | VA | N | Allopathic & Osteopathic Physicians | Phlebology | 207R00000X | 248682 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | T2008089 | AR | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | T2008089 | AR | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 248682 | NY | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 248682 | 01 | NY | NEW YORK STATE LICENSE NUMBER | OTHER | T2008089 | 01 | AR | ARKANSAS STATE LICENSE NUMBER | OTHER |