Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME151024 | FL |
N | 111NI0900X | Internist | ME151024 | FL |
Y | 207RS0012X | Sleep Medicine | ME151024 | FL |
NPI | 1366974503 |
---|---|
Provider Name | Abhishek Khatri |
First Address | Gainesville, FL 32610-0265 |
Second Address | Gainesville, FL 32610-0265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2017 |
Last Update Date | 01/06/2021 |