NPI 1184930455

Khaula Khatlani, MD

Practitioner Preventive Medicine/Occupational Environmental Medicine Physician Bristol, CT

Practice location

Address: 975 Farmington Ave STE 1, Bristol, CT 06010-3964
Phone: (860) 589-0114
Fax: (860) 589-1936

Registered specialties (3)

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence 66471 (CT)

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Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 4301096855 (MI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence 57453 (CT)

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Registry record

NPI: 1184930455
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2010
Record last updated: 21 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.