Khatib, Baber Nazir
Khatib, Baber Nazir is an individual health care provider with primary practice located at 1849 Nw Kearney St Ste 300 , Portland OR 97209-1453. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Khatib, Baber Nazir can be contacted via phone (503) 224-1371.Contact Information
Primary practice address
1849 Nw Kearney St Ste 300
Portland OR 97209-1453
Phone: (503) 224-1371
Fax: (503) 224-0722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MD196775 | Oregon |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D11193 | Oregon |
Profile Details
| NPI number | 1356662845 |
|---|---|
| LBN Legal business name | Khatib, Baber Nazir |
| Credentials | MD, DDS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2010 |
| Last updated | Jan 3rd, 2020 - about 5 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 | 1356662845 | NPPES |
| Oregon | Other | D11193 | DENTAL LICENSE |
| Oregon | Other | MD196775 | DENTAL LICENSE |
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