Basic Information
Provider Information
NPI: 1982739173
EntityType: 2
ReplacementNPI:  
OrganizationName: DANIEL SABRY MD PC
LastName:  
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Mailing Information
Address1: PO BOX 36670
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891336670
CountryCode: US
TelephoneNumber: 7024078241
FaxNumber: 7024921728
Practice Location
Address1: 2610 W HORIZON RIDGE PKWY
Address2: SUITE 205
City: HENDERSON
State: NV
PostalCode: 890522869
CountryCode: US
TelephoneNumber: 7024078241
FaxNumber: 7024921728
Other Information
ProviderEnumerationDate: 02/21/2007
LastUpdateDate: 09/26/2007
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: SABRY
AuthorizedOfficialFirstName: DANIEL
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AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7024078241
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X9518NVY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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