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KHAULA KHATLANI M.D. NPI 1184930455


NPI Information

NPI: 1184930455
Provider Name: KHAULA KHATLANI, M.D.
Classification: Preventive Medicine - 2083P0500X
Entity Type: Individual

Specialization: Preventive Medicine/Occupational Environmental Medicine

PECOS Registration: Yes

Address:
975 FARMINGTON AVE STE 1
BRISTOL, CT
ZIP 06010
Phone: (860) 589-0114
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Khaula Khatlani, M.D. is a preventive medicine/occupational environmental medicine preventive medicine in Bristol, CT. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. Khaula Khatlani, M.D. NPI is 1184930455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

975 FARMINGTON AVE STE 1
BRISTOL, CT
ZIP 06010-964
Phone: (860) 589-0114
Fax: (860) 589-1936

The NPI 1184930455 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2010 and was last updated on 9/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery4301096855MICHIGANNo
2390200000XStudent in an Organized Health Care Education/Training Program57453CONNECTICUTNo
32083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine66471CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
166471OTHERCONNECTICUTSTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.