Individual
DR. ZOHRA ALI KHAMBATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
6724 TENNYSON OAKS LN, ALEXANDRIA, LA 71301-2768
(318) 561-0457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19654
AL
207Q00000X
Family Medicine Physician
Primary
K8250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19654
MEDICAL LICENSE
AL
01
—
K8250
MEDICAL LICENSE
TX
Enumeration date
09/11/2006
Last updated
05/06/2013
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