Provider Demographics
NPI:1558749457
Name:MOHAMMADU, SARAT (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAT
Middle Name:
Last Name:MOHAMMADU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 E WEST HWY APT 418
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3270
Mailing Address - Country:US
Mailing Address - Phone:678-266-7377
Mailing Address - Fax:
Practice Address - Street 1:1220 E WEST HWY APT 418
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3270
Practice Address - Country:US
Practice Address - Phone:678-266-7377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-12
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN105651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice