Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 12258150-1205 | UT |
NPI | 1609239763 |
---|---|
Provider Name | Dr. Sarah Khayat |
First Address | Salt Lake City, UT 84107-5245 |
Second Address | Cottonwood Heights, UT 84121-7290 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2016 |
Last Update Date | 30/07/2021 |