Healthcare Provider Details

I. General information

NPI: 1942454772
Provider Name (Legal Business Name): SARAH KIM OKADA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2008
Last Update Date: 11/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10903 NEW HAMPSHIRE BUILDING 22, ROOM 3234
SILVER SPRING MD
20993-0002
US

IV. Provider business mailing address

15938 ATTLEBORO RD
SILVER SPRING MD
20905-3831
US

V. Phone/Fax

Practice location:
  • Phone: 301-796-1960
  • Fax: 301-796-9713
Mailing address:
  • Phone: 301-796-1960
  • Fax: 301-796-9713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD8487
License Number StateHI

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: