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NPI Code Detail

MEDICARE: DR. NILOFER A. KHATRI D.M.D.

MEDICARE:  DR. NILOFER A. KHATRI  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry16755FL

General Provider Information

NPI Number : 1548306913
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NILOFER A. KHATRI D.M.D.
Provider Business Mailing Address
First Line : 333 MIAMI AVE W
Second Line :
City : VENICE
State : FL
Zip : 34285-2361
Country : US
Telephone Number : 941-484-2629
Fax Number : 941-485-3380
Provider Business Practice Location Address
First Line : 333 MIAMI AVE W
Second Line :
City : VENICE
State : FL
Zip : 34285-2361
Country : US
Telephone Number : 941-484-2629
Fax Number : 941-485-3380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 11/03/2011

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Directions to “ DR. NILOFER A. KHATRI D.M.D.” Practice Location

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