MEDICARE: DR. SADAF IMRAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	61858	KS
2	122300000X	Dentist	61858	KS

General Provider Information

NPI Number	:	1295308930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SADAF IMRAN DDS

Provider Business Mailing Address
First Line	:	13536 S ALDEN ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-5840
Country	:	US
Telephone Number	:	913-355-2634
Fax Number	:

Provider Business Practice Location Address
First Line	:	13536 S ALDEN ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-5840
Country	:	US
Telephone Number	:	913-355-2634
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2021
Last Update Date	:	06/20/2023

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Directions to “ DR. SADAF IMRAN DDS” Practice Location

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