Khaira, Divis K
Khaira, Divis K is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Khaira, Divis K can be contacted via phone (360) 414-7878.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2367
Phone: (360) 414-7878
Fax: (360) 414-7876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2014-00861 | North Carolina |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 2014-00861 | North Carolina |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 319482 | New York |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 2648 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD60789499 | Washington |
Profile Details
| NPI number | 1285637298 |
|---|---|
| LBN Legal business name | Khaira, Divis K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Feb 28th, 2023 - about 2 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 | 1285637298 | NPPES |
| Wisconsin | MEDICAID | 100098395 |
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