Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 52820 | TN |
NPI | 1033436837 |
---|---|
Provider Name | Asma N Khatri |
First Address | Cleveland, TN 37311-3861 |
Second Address | Cleveland, TN 37311-3861 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 02/09/2020 |