Provider Demographics
NPI:1407089881
Name:ALJOHANI, SARA MOHAMMED (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MOHAMMED
Last Name:ALJOHANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:MOHAMMED
Other - Last Name:ALJOHANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:31 SPRING ST
Mailing Address - Street 2:APT 301
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-3473
Mailing Address - Country:US
Mailing Address - Phone:201-920-9986
Mailing Address - Fax:
Practice Address - Street 1:31 SPRING ST
Practice Address - Street 2:APT 301
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-3473
Practice Address - Country:US
Practice Address - Phone:201-920-9986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA239886208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery