Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KHAULA KHATLANI, M.D.
Active Sole ProprietorKHAULA KHATLANI, M.D. is a Preventive Medicine healthcare provider located in BRISTOL, Connecticut. NPI 1184930455 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · BRISTOL, CT
Registration Details
- NPI Number
- 1184930455
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2010 (15.990799656821 yrs)
- Last Updated
- Sep 21, 2020
- Licenses
-
4301096855 (MI)57453 (CT)66471 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
975 FARMINGTON AVE STE 1BRISTOL, CT, 060103964Browse CT providers · Browse ZIP 06010
- Phone
- 8605890114
- Fax
- 8605891936
- Primary Specialty
-
Preventive Medicine
2083P0500X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Preventive Medicine
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.