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NPI Code Detail

MEDICARE: PARINDA KHATRI PHD

MEDICARE: PARINDA KHATRI PHD
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
1103TC0700XClinical PsychologistP2425TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831199595
Entity Type Code : Individual
Provider Name (Legal Business Name) : PARINDA KHATRI PHD
Provider Business Mailing Address
First Line : 6350 W ANDREW JOHNSON HWY DEPT 100
Second Line :
City : TALBOTT
State : TN
Zip : 37877-8605
Country : US
Telephone Number : 800-355-3565
Fax Number : 423-714-2355
Provider Business Practice Location Address
First Line : 2018 WESTERN AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37921-5718
Country : US
Telephone Number : 865-544-0406
Fax Number : 865-544-0480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 11/30/2017

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