Individual
DR. VIDITA VIJAY KHATRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 LANSDOWNE AVE STE 210, DARBY, PA 19023-1333
(610) 534-6142
Mailing address
1501 LANSDOWNE AVE, STE 210, DARBY, PA 19023-1333
(610) 534-6142
(610) 237-3503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT207128
PA
2084N0400X
Neurology Physician
036147756
IL
2084N0400X
Neurology Physician
Primary
MD473451
PA
Other
Enumeration date
07/25/2014
Last updated
03/23/2022
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