Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 125056184 | IL |
Y | 111NI0900X | Internist | 125056184 | IL |
N | 207RC0200X | Critical Care Medicine | MD-42580 | IA |
N | 207RP1001X | Pulmonary Disease | ME120243 | FL |
NPI | 1093049678 |
---|---|
Provider Name | Dr. Vinod Khatri |
First Address | Toledo, OH 43604-7101 |
Second Address | Toledo, OH 43608-2669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2009 |
Last Update Date | 22/10/2019 |