Khaki, Ali A.

Khaki, Ali A. is an individual health care provider with primary practice located at 3100 Ne 28Th St Ste E , Lincoln City OR 97367-4524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Khaki, Ali A. can be contacted via phone (541) 994-8114.

Contact Information

Primary practice address
3100 Ne 28Th St Ste E Lincoln City OR 97367-4524
Phone: (541) 994-8114
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD23308 Oregon

Profile Details

NPI number 1477591923
LBN Legal business name Khaki, Ali A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Nov 4th, 2020 - about 4 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 1477591923 NPPES
Oregon MEDICAID 074703

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