Basic Information
Provider Information
NPI: 1538572128
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALGHAMDI
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4300 ALTON RD
Address2:  
City: MIAMI BEACH
State: FL
PostalCode: 331402948
CountryCode: US
TelephoneNumber: 3056742277
FaxNumber: 3056742999
Practice Location
Address1: 4300 ALTON RD
Address2:  
City: MIAMI BEACH
State: FL
PostalCode: 331402948
CountryCode: US
TelephoneNumber: 3056742277
FaxNumber: 3056742999
Other Information
ProviderEnumerationDate: 06/11/2014
LastUpdateDate: 04/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102XME118303FLY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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