Provider Demographics
NPI:1912423054
Name:BAKHTIAR, SARA (MBBS, MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BAKHTIAR
Suffix:
Gender:F
Credentials:MBBS, MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30014 ALDINE WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2994
Mailing Address - Country:US
Mailing Address - Phone:936-270-4822
Mailing Address - Fax:936-270-4821
Practice Address - Street 1:30014 ALDINE WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-2994
Practice Address - Country:US
Practice Address - Phone:936-270-4822
Practice Address - Fax:936-270-4821
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE32317208M00000X, 207Q00000X
TXT5515207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist