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Individual

DR. IMRAN AHMED KHATRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2296 OPITZ BLVD STE 330, WOODBRIDGE, VA 22191-3346
(703) 468-4887
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
(908) 530-6351

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0101281449
VA
207WX0107X
Retina Specialist (Ophthalmology) Physician
D0099911
MD
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD500002874
DC

Other

Enumeration date
03/23/2018
Last updated
08/28/2024
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