Individual
SASHA AHANGAMA ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
S0255
TX
207R00000X
Internal Medicine Physician
5706
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0255
STATE LICENSE
TX
Enumeration date
04/24/2014
Last updated
08/26/2020
Update your record
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