Individual
KHYATI APOORVA TALATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2203 E LITTLE CREEK RD, NORFOLK, VA 23518-4205
(757) 583-2181
(757) 480-6482
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3516
(757) 686-0230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101265551
VA
207Q00000X
Family Medicine Physician
125065653
IL
208M00000X
Hospitalist Physician
036141546
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MEDICARE GROUP PTAN
IL
Enumeration date
06/28/2014
Last updated
07/13/2024
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