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
Fax: (360) 414-7876
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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 1285637298 NPPES
Wisconsin MEDICAID 100098395

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