Provider Demographics
NPI:1972000610
Name:KHALAJ, SAHAR (DO)
Entity Type:Individual
Prefix:
First Name:SAHAR
Middle Name:
Last Name:KHALAJ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12333 NE 130TH LN STE 310
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-7467
Mailing Address - Country:US
Mailing Address - Phone:425-899-6700
Mailing Address - Fax:425-899-6701
Practice Address - Street 1:12333 NE 130TH LN STE 310
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7467
Practice Address - Country:US
Practice Address - Phone:425-899-6700
Practice Address - Fax:425-899-6701
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program