Individual
DEEPAK KHATRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 E 77TH ST, 3 BLACK HALL, NEW YORK, NY 10075-1851
(212) 434-3691
Mailing address
130 E 77TH ST, 3 BLACK HALL, NEW YORK, NY 10075-1851
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
P100369
NY
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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