# DR. NADIA J KHATI-BOUGHANEM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780601443
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | MD32533 | DC | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 04/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2849 | B/C B/S | DC |
| 01 | — | J062 | B/C B/S | MD |
| 01 | — | KA80 | B/C B/S | MD |