Provider Demographics
NPI:1205989522
Name:SAHOTA, KARENJEET (OD)
Entity type:Individual
Prefix:DR
First Name:KARENJEET
Middle Name:
Last Name:SAHOTA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:SAHOTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:13945 105TH CT NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-5242
Mailing Address - Country:US
Mailing Address - Phone:425-301-8167
Mailing Address - Fax:
Practice Address - Street 1:9726 NE 119TH WAY
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-8955
Practice Address - Country:US
Practice Address - Phone:425-821-2010
Practice Address - Fax:425-821-2011
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD4036152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2031318Medicaid
WAV08024Medicare UPIN
WA8858152Medicare PIN