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NPI Code Detail

MEDICARE: SAHIRA KHALID

MEDICARE:   SAHIRA  KHALID
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
1390200000XStudent in an Organized Health Care Education/Training ProgramZZ

General Provider Information

NPI Number : 1790142206
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAHIRA KHALID
Provider Business Mailing Address
First Line : 601 N KEYS RD
Second Line :
City : YAKIMA
State : WA
Zip : 98901-1172
Country : US
Telephone Number : 509-865-6175
Fax Number :
Provider Business Practice Location Address
First Line : 601 N KEYS RD
Second Line :
City : YAKIMA
State : WA
Zip : 98901-1172
Country : US
Telephone Number : 509-865-6175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2016
Last Update Date : 03/18/2016

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Directions to “ SAHIRA KHALID ” Practice Location

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