Individual
DR. ABDUL MAJEED KHATRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1209 NORTH MOUND ST, NACOGDOCHES, TX 75961-4068
(936) 560-1066
(936) 560-9751
Mailing address
1209 NORTH MOUND ST, NACOGDOCHES, TX 75961-4068
(936) 560-1066
(936) 560-9751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G0745
TX
2084N0400X
Neurology Physician
G0745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00PN70
BLUE CROSS BLUE SHIELD
TX
05
—
120163404
—
TX
Enumeration date
11/16/2005
Last updated
05/05/2010
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