Healthcare Provider Details

I. General information

NPI: 1578213310
Provider Name (Legal Business Name): SARA ELIZABETH OHADI-HAMADANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 E PRESCOTT RD
SALINA KS
67401-7408
US

IV. Provider business mailing address

651 E PRESCOTT RD
SALINA KS
67401-7408
US

V. Phone/Fax

Practice location:
  • Phone: 785-825-7251
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1578213310
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: