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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093944928 NPPES
Florida Other ME119938 MEDICAL LICENSE
Florida MEDICAID 012092000 MEDICAL LICENSE

Popular Providers