Active NPIIndividual providerSole proprietor

Khaula Khatlani, MD

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine in Bristol, Connecticut

NPI Number1184930455
Practice location
975 Farmington Ave Ste 1, Bristol, CT 06010-3964
Fax
860-589-1936
Last updated
September 21, 2020

Khaula Khatlani is a Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine based in Bristol, CT. Khaula Khatlani practices in Bristol, CT and has the professional credentials of MD. The NPI Number for Khaula Khatlani is 1184930455 and holds a License No. 4301096855 (MI). The current practice location address for Khaula Khatlani is 975 Farmington Ave Ste 1, Bristol, CT 06010-3964 and can be reached out via phone at 860-589-0114 and via fax at 860-589-1936.

Provider Profile Details

NPI Number
1184930455
Provider Name
Khaula Khatlani
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
975 Farmington Ave Ste 1, Bristol, CT 06010-3964
Phone Number
860-589-0114
Fax Number
860-589-1936
Sole Proprietor
Yes
Provider Enumeration Date
August 25, 2010
Last Update Date
September 21, 2020
Certification Date
September 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
975 Farmington Ave Ste 1
Bristol, CT 06010-3964
Zip
06010-3964
Phone Number
860-589-0114
Fax Number
860-589-1936
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
975 Farmington Ave Ste 1
Bristol, CT 06010-3964
City
Bristol
State
CT
Zip
06010-3964
Phone Number
860-589-0114
Fax Number
860-589-1936

License Information

License Number (1)
4301096855
License State (1)
MI
Taxonomy (1)
Surgery · 208600000X
License Number (2)
57453
License State (2)
CT
License Number (3)
66471
License State (3)
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Khaula Khatlani, MD?

The NPI number of Khaula Khatlani, MD is 1184930455. It was assigned on August 25, 2010 and is currently active in the NPPES registry.

What is the specialty of Khaula Khatlani, MD?

Khaula Khatlani, MD is registered under the primary taxonomy Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (code 2083P0500X), licensed in MI under license number 4301096855.

Where does Khaula Khatlani, MD practice?

The practice location is 975 Farmington Ave Ste 1, Bristol, CT 06010-3964. The office can be reached at 860-589-0114 (phone) or 860-589-1936 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184930455 directly on the NPPES registry website.

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