Individual
SANJAY R KHATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 EAST I-30, MESQUITE, TX 75150
(972) 698-3300
(972) 698-2030
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(800) 945-2455
(903) 453-2525
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L6980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166531702
—
TX
Enumeration date
05/03/2006
Last updated
05/09/2008
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