Khachaturova, Inga
Khachaturova, Inga is an sole proprietor health care provider with primary practice located at 1900 Don Wickham Dr Mp Sl Admin, Clermont FL 34711-1979. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Khachaturova, Inga can be contacted via phone (352) 536-8840.Contact Information
Primary practice address
1900 Don Wickham Dr Mp Sl Admin
Clermont FL 34711-1979
Phone: (352) 536-8840
Fax: (352) 536-8841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME119938 | Florida |
Profile Details
| NPI number | 1093944928 |
|---|---|
| LBN Legal business name | Khachaturova, Inga |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2009 |
| Last updated | Nov 15th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093944928 | NPPES |
| Florida | Other | ME119938 | MEDICAL LICENSE |
| Florida | MEDICAID | 012092000 | MEDICAL LICENSE |
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