Individual
KHYATI DELADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11673 JOLLYVILLE RD STE 202, AUSTIN, TX 78759-4211
(512) 342-7979
(512) 637-2596
Mailing address
11673 JOLLYVILLE RD STE 202, AUSTIN, TX 78759-4211
(512) 342-7979
(512) 637-2596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16052
TX
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA16052
TX
Other
Enumeration date
04/12/2022
Last updated
05/05/2026
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