Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | R182246 | MD |
NPI | 1003301862 |
---|---|
Provider Name | Sarah Katkhouda |
First Address | Dunkirk, MD 20754-2712 |
Second Address | Washington, DC 20006-4088 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2018 |
Last Update Date | 12/10/2021 |