Khatlani, Khaula

Khatlani, Khaula is an sole proprietor health care provider with primary practice located at 975 Farmington Ave Ste 1 , Bristol CT 06010-3964. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is her primary health care specialty. Khatlani, Khaula can be contacted via phone (860) 589-0114.

Contact Information

Primary practice address
975 Farmington Ave Ste 1 Bristol CT 06010-3964
Phone: (860) 589-0114
Fax: (860) 589-1936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301096855 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 57453 Connecticut
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 66471 Connecticut

Profile Details

NPI number 1184930455
LBN Legal business name Khatlani, Khaula
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2010
Last updated Sep 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184930455 NPPES
Connecticut Other 66471 STATE LICENSE

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