Individual
DR. PRATIK KHATIWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2600
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022026494
MO
207R00000X
Internal Medicine Physician
TRN29501
FL
Other
Enumeration date
06/19/2019
Last updated
07/14/2022
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