Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 251223 | NY |
NPI | 1184860967 |
---|---|
Provider Name | Sarita Khatri |
First Address | Old Westbury, NY 11568-1524 |
Second Address | Fresh Meadows, NY 11366-1235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2008 |
Last Update Date | 24/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03110872 | (05) | NY |