Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | K7312 | TX |
NPI | 1053310755 |
---|---|
Provider Name | Dr. Talat Jehan Kheshgi |
First Address | Dallas, TX 75231-4388 |
Second Address | Dallas, TX 75231-4388 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2005 |
Last Update Date | 21/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G37576 | (02) |