Provider Demographics
NPI:1760134704
Name:AKHAVANFARD, SARA (MD, PHD, DABMGG)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:AKHAVANFARD
Suffix:
Gender:F
Credentials:MD, PHD, DABMGG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 SITTINGBOURNE LN
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1655
Mailing Address - Country:US
Mailing Address - Phone:857-334-8257
Mailing Address - Fax:
Practice Address - Street 1:7100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-4036
Practice Address - Country:US
Practice Address - Phone:857-334-8257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2021114207SG0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics