Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | M1183 | TX |
NPI | 1023002284 |
---|---|
Provider Name | Sultana Alamin Khimani |
First Address | Corpus Christi, TX 78414-4103 |
Second Address | Corpus Christi, TX 78414-4103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2005 |
Last Update Date | 17/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
173312301 | (05) | TX |
8S3150 | BCBS (01) | TX |
I31309 | (02) |