# DR. ROSE KHAVARI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295066397
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | N7627 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 01/29/2010
- **Last updated:** 03/21/2024

## 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 |