Provider Demographics
NPI:1255129037
Name:KHADIM, SANA
Entity type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:KHADIM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N HENRY ST APT 705
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2074
Mailing Address - Country:US
Mailing Address - Phone:571-278-8011
Mailing Address - Fax:571-278-8011
Practice Address - Street 1:900 N HENRY ST APT 705
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2074
Practice Address - Country:US
Practice Address - Phone:571-278-8011
Practice Address - Fax:571-278-8011
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter