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NPI Code Detail

MEDICARE: SIJAN KHATIWADA MD

MEDICARE: SIJAN KHATIWADA MD
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
1207R00000XInternal Medicine Physician2025-00071NC

General Provider Information

NPI Number : 1144950791
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIJAN KHATIWADA MD
Provider Business Mailing Address
First Line : 100 AIRPORT RD
Second Line :
City : KINSTON
State : NC
Zip : 28501-1604
Country : US
Telephone Number : 252-522-7000
Fax Number :
Provider Business Practice Location Address
First Line : 100 AIRPORT RD
Second Line :
City : KINSTON
State : NC
Zip : 28501-1604
Country : US
Telephone Number : 252-522-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2022
Last Update Date : 02/11/2026

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Directions to “ SIJAN KHATIWADA MD” Practice Location

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