Khatlani, Khaula
Khatlani, Khaula is an sole proprietor health care provider with primary practice located at 975 Farmington Ave Ste 1 , Bristol CT 06010-3964. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is her primary health care specialty. Khatlani, Khaula can be contacted via phone (860) 589-0114.Contact Information
Primary practice address
975 Farmington Ave Ste 1
Bristol CT 06010-3964
Phone: (860) 589-0114
Fax: (860) 589-1936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301096855 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 57453 | Connecticut |
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 66471 | Connecticut |
Profile Details
| NPI number | 1184930455 |
|---|---|
| LBN Legal business name | Khatlani, Khaula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2010 |
| Last updated | Sep 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184930455 | NPPES |
| Connecticut | Other | 66471 | STATE LICENSE |
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