MEDICARE: SARA BUKHARI 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	1223P0221X	Pediatric Dentistry	D8487	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144238148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA BUKHARI DDS

Provider Business Mailing Address
First Line	:	4731 E UNION HILLS DR
Second Line	:	SUITE 108
City	:	PHOENIX
State	:	AZ
Zip	:	85050-3310
Country	:	US
Telephone Number	:	480-389-4215
Fax Number	:	480-383-6199

Provider Business Practice Location Address
First Line	:	4731 E UNION HILLS DR
Second Line	:	SUITE 108
City	:	PHOENIX
State	:	AZ
Zip	:	85050-3310
Country	:	US
Telephone Number	:	480-389-4215
Fax Number	:	480-383-6199

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	04/15/2016

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