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Individual
DR. ROSE KHAVARI
Active
Individual
DR. ROSE KHAVARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
N7627
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295066397
BLUE CROSS BLUE SHIELD
TX
05
—
314980901
—
TX
05
—
314980902
—
TX
01
—
8DK892
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/29/2010
Last updated
03/21/2024
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