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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHUSBOO SURTANI, PA-C

Deactivated

KHUSBOO SURTANI, PA-C is a Medical Physician Assistant healthcare provider located in LIVE OAK, Texas. NPI 1023665221 is deactivated in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LIVE OAK, TX

This NPI has been deactivated. The record was deactivated on January 8, 2024. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1023665221
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2019 (4.379781420765 yrs)
Last Updated
Feb 12, 2024
Deactivated
Jan 8, 2024
License
PA17609 (TX)

Practice Information

Address
12410 TOEPPERWEIN RD
LIVE OAK, TX, 782333230
Browse TX providers · Browse ZIP 78233
Phone
2107426555
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LIVE OAK, TX

Name Credential NPI
MR. PHILLIP DWIGHT COSBY PHYSICIAN ASSISTANT 1912997347
SALIMA PANJWANI PA 1568687499
DANIEL E HICKS PA 1336422385
JAMES ANDREW VARNER 1497230593
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.