Provider Demographics
NPI:1679096010
Name:HOJJATIE, SARA LADAN
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LADAN
Last Name:HOJJATIE
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 1:12144 WALNUT TER
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4087
Mailing Address - Country:US
Mailing Address - Phone:678-492-2244
Mailing Address - Fax:
Practice Address - Street 1:12144 WALNUT TER
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-4087
Practice Address - Country:US
Practice Address - Phone:678-492-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program