Organization
DOST M. KHATTAK, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA A JOHNSON (INSURANCE CLERK)
(256) 880-0800
Entity
Organization
Contact information
Practice address
333 WHITESPORT DR SW, SUITE 304, HUNTSVILLE, AL 35801-6454
(256) 880-0800
(256) 882-3556
Mailing address
333 WHITESPORT DR SW, SUITE 304, HUNTSVILLE, AL 35801-6454
(256) 880-0800
(256) 882-3556
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
9080
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427005560
SOLO NPI NUMBER
AL
Enumeration date
05/15/2007
Last updated
08/22/2020
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