Sophealyta Kheang

Primary specialty

DentistTaxonomy code 122300000X

License

DS046017 Issued in PA

Practice address

3722 Midvale Ave
Philadelphia, PA 19129-1715

Phone

(432) 271-8115

NPI assigned

Jul 21, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1598685299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N AMERICAN ST # 306",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223821",
            "telephone_number": "432-271-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 MIDVALE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291715",
            "telephone_number": "432-271-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEANG",
        "first_name": "SOPHEALYTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS046017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanveer Farhaj Khawaja
• Hamza Khawar, M.D
• Yasmin Khawja, M.D.
• Ossama Khazaal
• Benjamin Khazan, MD
• Maged Khedr, D.M.D.
• Tarek Khedro, MD
• Sami L Khella, MD
• Olga M Khelmer, D.M.D.
• Sameer Khetan, LSW

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.