Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 74628 | MA |
N | 207N00000X | Dermatologist | 9870 | NH |
NPI | 1033169610 |
---|---|
Provider Name | Dr. Khalil A Khatri |
First Address | Nashua, NH 03060-4757 |
Second Address | Chelmsford, MA 01824-1725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 14/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0100874Y0NH01 | ANTHEM NH (01) | NH |
0300219 | UNITED HEALTH (01) | |
070011655 | RAILROAD MEDICARE (01) | |
074628 | TUFTS HEALTH PLAN (01) | |
4126925 | MVP HEALTHCARE (01) | |
449040 | HEALTHSOURCE (01) | NH |
4845 | HARVARD PILGRIM (01) | MA |
5521687 | AETNA (01) | |
B20757401 | CIGNA (01) | |
E96008 | (02) | |
E96008 | HARVARD PILGRIM (01) | NH |
J11516 | BLUE CROSS BLUE SHIELD (01) | MA |