MEDICARE: DR. ARASH AGHAKHANI 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	42106	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	42106	OTHER	CA	DENTAL LICENSE

General Provider Information

NPI Number	:	1851450993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARASH AGHAKHANI DDS

Provider Business Mailing Address
First Line	:	7237 E SOUTHGATE DR STE E
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-2637
Country	:	US
Telephone Number	:	916-836-3833
Fax Number	:	916-836-3851

Provider Business Practice Location Address
First Line	:	7237 E SOUTHGATE DR STE E
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-2637
Country	:	US
Telephone Number	:	916-836-3833
Fax Number	:	916-836-3851

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

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	10/20/2023

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