Wellformed AI

NPI 1487405239 · live from the CMS NPI Registry

Sahran Al Busaidy, PA

Physician Assistant, Medical in New Orleans, LA. National Provider Identifier 1487405239, active.

NPI record

NPI1487405239 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Medical 363AM0700X
Practice location200 Henry Clay Ave, New Orleans, LA 70118
Practice phone504-899-9511
Mailing address1100 Poydras, 2500 Energy Centre, New Orleans, LA 70163
EnumeratedMarch 29, 2024
Last updatedFebruary 18, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program390200000X—
Physician Assistant, Medical primary363AM0700X345249 (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.