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NPI Code Detail

MEDICARE: KHADY KEITA DR.

MEDICARE: KHADY KEITA DR.
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
1183500000XPharmacist36260TX

General Provider Information

NPI Number : 1255109013
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHADY KEITA DR.
Provider Business Mailing Address
First Line : 3363 MCCUE RD APT 219
Second Line :
City : HOUSTON
State : TX
Zip : 77056-6768
Country : US
Telephone Number : 832-439-4709
Fax Number :
Provider Business Practice Location Address
First Line : 3363 MCCUE RD APT 219
Second Line :
City : HOUSTON
State : TX
Zip : 77056-6768
Country : US
Telephone Number : 832-439-4709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2023
Last Update Date : 12/12/2023

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Directions to “ KHADY KEITA DR.” Practice Location

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