Dr. Khaled Taha, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Sugar Land, TX. Individual provider (NPI-1).
NPI number1679041024
StatusActive
Last updated in NPPESJan 29, 2025
Details
- NPI
- 1679041024
- Entity type
- Individual (NPI-1)
- Name
- Dr. Khaled Taha
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2018
- Certification date
- Jan 29, 2025
- Last updated
- Jan 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 35050 | TX | Yes |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 0401416409 | VA |
Practice location
7702 Reseda StSugar Land, TX 77479-3581
Phone 202-725-2160
Mailing address
7702 Reseda StSugar Land, TX 77479-3581
Phone 202-725-2160
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