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NPI Code Detail

MEDICARE: SARA ALKHATIB DDS

MEDICARE:   SARA  ALKHATIB  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
11223G0001XGeneral Practice Dentistry12013754AIN

General Provider Information

NPI Number : 1205404381
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ALKHATIB DDS
Provider Business Mailing Address
First Line : 11683 FOX RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-8423
Country : US
Telephone Number : 317-826-4347
Fax Number :
Provider Business Practice Location Address
First Line : 11683 FOX RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-8423
Country : US
Telephone Number : 317-826-4347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2021
Last Update Date : 09/21/2022

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Directions to “ SARA ALKHATIB DDS” Practice Location

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