Organization
KIMAT G. KHATAK, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMAT G KHATAK MD, PC (MD)
(413) 532-2584
Entity
Organization
Contact information
Practice address
10 HOSPITAL DR., SUITE 311, HOLYOKE, MA 01040-6603
(413) 532-2584
(413) 535-1123
Mailing address
10 HOSPITAL DR, SUITE 311, HOLYOKE, MA 01040-6603
(413) 532-2584
(413) 535-1123
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9719652
—
MA
Enumeration date
11/01/2007
Last updated
05/13/2016
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