Provider Demographics
NPI:1073851507
Name:KAMKAR, SAHAR (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAHAR
Middle Name:
Last Name:KAMKAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15731 NE 8TH ST UNIT 6911
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-4058
Mailing Address - Country:US
Mailing Address - Phone:425-298-7488
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-2417
Practice Address - Country:US
Practice Address - Phone:206-616-6996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA610210251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY006959541Medicaid
NY03542349Medicaid
NY331947Medicare Oscar/Certification
NY331952Medicare Oscar/Certification
NY331978Medicare Oscar/Certification
NY331043Medicare Oscar/Certification
NY331058Medicare Oscar/Certification
NY03542349Medicaid
NY331954Medicare Oscar/Certification
NY331944Medicare Oscar/Certification
NY331945Medicare Oscar/Certification
NYW6L111Medicare Oscar/Certification
NY331946Medicare Oscar/Certification
NYG100000410Medicare Oscar/Certification
NY331009Medicare Oscar/Certification