Provider Demographics
NPI:1578144135
Name:KHARA, SEHAJ KAUR
Entity Type:Individual
Prefix:
First Name:SEHAJ
Middle Name:KAUR
Last Name:KHARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6017 BRITLYN CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2428
Mailing Address - Country:US
Mailing Address - Phone:804-514-0142
Mailing Address - Fax:
Practice Address - Street 1:6372 MECHANICSVILLE TPKE STE 106
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-4710
Practice Address - Country:US
Practice Address - Phone:804-559-5808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-15
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401417815122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist