SABENA JUZER MODI-MASOOD PA-C
NPI 1619386471
Physician Assistant in Waldorf, MD

Active since August 06, 2014
102 PAUL MELLON CT SUITE 102, WALDORF, MD 20602(301) 645-7414(301) 645-7997 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sabena Juzer Modi-masood Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SABENA JUZER MODI-MASOOD PA-C (NPI 1619386471) is an individual physician assistant in Waldorf, Maryland, licensed in Michigan (5601006961) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1619386471
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSABENA JUZER MODI-MASOODCredential: PA-C
Location Address102 PAUL MELLON CT SUITE 102Waldorf, MD 20602-2788
Mailing Address1650 Ramblewood DrEast Lansing, MI 48823-7396 · (517) 332-1200 · Fax (517) 351-7122
Fax(301) 645-7997
Sole ProprietorNo
Enumeration DateAugust 6, 2014
Last NPPES UpdateApril 4, 2018
NPI 1619386471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601006961
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License C0005435 (MD)
102 PAUL MELLON CT SUITE 102, Waldorf, MD 20602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sabena Modi-masood's NPI number?

The NPI number for Sabena Modi-masood is 1619386471. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Sabena Modi-masood located?

Sabena Modi-masood practices at 102 Paul Mellon Ct Suite 102, Waldorf, MD 20602. The listed phone number is (301) 645-7414.

What is Sabena Modi-masood's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Sabena Modi-masood was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.