Healthcare Provider Details

I. General information

NPI: 1306530787
Provider Name (Legal Business Name): NIRAJAN KHATI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S. WASHINGTON AVE, SUITE 1000
SCRANTON PA
18505
US

IV. Provider business mailing address

THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION 501 S WASHINGTON AVE, SUITE 1000
SCRANTON PA
18505
US

V. Phone/Fax

Practice location:
  • Phone: 570-591-5131
  • Fax:
Mailing address:
  • Phone: 570-343-2383
  • Fax: 570-343-4800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0106233
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: