Sade Khorami
Nurse Practitioner, Family in Maple Valley, WA. Individual provider (NPI-1).
NPI number1124534409
StatusActive
Last updated in NPPESDec 21, 2017
Details
- NPI
- 1124534409
- Entity type
- Individual (NPI-1)
- Name
- Sade Khorami
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2017
- Last updated
- Dec 21, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP60816367 | WA | Yes |
Practice location
23745 225th Way Se Ste 201Maple Valley, WA 98038-5294
Phone 888-674-5871
Mailing address
3624 113th Ave NeBellevue, WA 98004-7688
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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