Individual
SOPHIA RAZIUDDIN KHATRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4801 1ST AVE SE SPC 1, CEDAR RAPIDS, IA 52402-3213
(319) 393-0776
Mailing address
2129 IVY RIDGE DR, HOFFMAN ESTATES, IL 60192-4154
(219) 512-0685
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
117945
IA
152W00000X
Optometrist
OPT.0003878
CO
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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