Organization
DR. KATTIE KHADAR, PC
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATTIE KHADAR DNP-FNP (OWNER/DIRECTOR)
(240) 481-5289
Entity
Organization
Contact information
Practice address
6201 GREENBELT RD, BERWYN HEIGHTS, MD 20740-2354
(301) 547-3939
Mailing address
6201 GREENBELT RD, BERWYN HEIGHTS, MD 20740-2354
(301) 547-3939
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740763093
NPI
MD
Enumeration date
07/31/2020
Last updated
07/31/2020
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