| Doctor Name: | SARAH KHODADADEH |
| NPI Number: | 1467642371 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD, MS |
| License Number: | 036-127798 |
| Business Practice Address: | 40 Temple St Suite 1b New Haven, CT - 065102715 |
| Business Phone Number: | 2037853360 |
| Business Fax Number: | 2037857694 |
| Mailing Address: | Po Box 339686, FARMINGTON HILLS |
| State: | MI |
| Postal Code: | 483339686 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2007 |
| NPI Last Update Date: | 01/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 036-127798 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |