Provider Demographics
NPI:1215413711
Name:SAHOTA, SHERAN (OD)
Entity Type:Individual
Prefix:
First Name:SHERAN
Middle Name:
Last Name:SAHOTA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 ARROWCREEK PKWY UNIT 433
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-5525
Mailing Address - Country:US
Mailing Address - Phone:312-450-4450
Mailing Address - Fax:
Practice Address - Street 1:5465 MEADOWOOD MALL CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6710
Practice Address - Country:US
Practice Address - Phone:775-826-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV982152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist