Provider Demographics
NPI:1790230043
Name:KHIMANI, SANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANA
Middle Name:
Last Name:KHIMANI
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 1:19950 HUEBNER RD APT 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3293
Mailing Address - Country:US
Mailing Address - Phone:210-535-3726
Mailing Address - Fax:
Practice Address - Street 1:19950 HUEBNER RD APT 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3293
Practice Address - Country:US
Practice Address - Phone:210-535-3726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32070122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist