Active NPIIndividual providerSole proprietor

Khai-El Johnson, MD

Family Medicine in Dorchester, Massachusetts

NPI Number1831553080
Practice location
637 Washington St, Dorchester, MA 02124-3510
Fax
617-288-7898
Last updated
December 6, 2023

Khai-El Johnson is a Family Medicine based in Dorchester, MA. Khai-El Johnson practices in Dorchester, MA and has the professional credentials of MD. The NPI Number for Khai-El Johnson is 1831553080 and holds a License No. 285614 (MA). The current practice location address for Khai-El Johnson is 637 Washington St, Dorchester, MA 02124-3510 and can be reached out via phone at 617-825-9660 and via fax at 617-288-7898.

Provider Profile Details

NPI Number
1831553080
Provider Name
Khai-El Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
637 Washington St, Dorchester, MA 02124-3510
Phone Number
617-825-9660
Fax Number
617-288-7898
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 13, 2016
Last Update Date
December 6, 2023
Certification Date
December 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
637 Washington St
Dorchester, MA 02124-3510
Zip
02124-3510
Phone Number
617-825-9660
Fax Number
617-288-7898
Dorchester, MA 02124Get directions →

Provider Business Mailing Address Details

Address
637 Washington St
Dorchester, MA 02124-3510
City
Dorchester
State
MA
Zip
02124-3510
Phone Number
617-825-9660
Fax Number
617-288-7898

License Information

License Number (1)
285614
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
MD047107
License State (2)
DC
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

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 Khai-El Johnson, MD?

The NPI number of Khai-El Johnson, MD is 1831553080. It was assigned on April 13, 2016 and is currently active in the NPPES registry.

What is the specialty of Khai-El Johnson, MD?

Khai-El Johnson, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 285614.

Where does Khai-El Johnson, MD practice?

The practice location is 637 Washington St, Dorchester, MA 02124-3510. The office can be reached at 617-825-9660 (phone) or 617-288-7898 (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 1831553080 directly on the NPPES registry website.

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