Organization
KHOT MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH N KHOT (DOCTOR)
(336) 838-9990
Entity
Organization
Contact information
Practice address
1216 D SCHOOL ST, WILKESBORO, NC 28697
(336) 838-9990
(336) 838-9995
Mailing address
PO BOX 327, KHOT MEDICAL CLINIC, KING, NC 27021
(336) 838-9990
(336) 838-9995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19016
NC
305S00000X
Point of Service
Primary
19016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135JP
BCBS
NC
05
—
89135JP
—
NC
Enumeration date
05/09/2007
Last updated
05/20/2008
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