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NPI Code Detail

MEDICARE: JAGDISH KUMAR KHATTER

MEDICARE:   JAGDISH KUMAR KHATTER
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
1183500000XPharmacist12242CO

General Provider Information

NPI Number : 1255871950
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAGDISH KUMAR KHATTER
Provider Business Mailing Address
First Line : 5901 S HIMALAYA CT
Second Line :
City : CENTENNIAL
State : CO
Zip : 80016-3818
Country : US
Telephone Number : 303-885-6974
Fax Number : 303-321-1189
Provider Business Practice Location Address
First Line : 4605 QUEBEC ST
Second Line :
City : DENVER
State : CO
Zip : 80216-3405
Country : US
Telephone Number : 303-532-1431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2017
Last Update Date : 02/28/2017

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Directions to “ JAGDISH KUMAR KHATTER ” Practice Location

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