MEDICARE: SARAH BAKHT

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	163WG0000X	General Practice Registered Nurse	1051458	TX

General Provider Information

NPI Number	:	1821853177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BAKHT

Provider Business Mailing Address
First Line	:	3942 CANYON SHORE LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1876
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3942 CANYON SHORE LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1876
Country	:	US
Telephone Number	:	908-239-1280
Fax Number	:

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

Provider Enumeration Date	:	02/15/2024
Last Update Date	:	02/15/2024

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