Individual
ADIL NOORUDDIN KHETANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-8181
Mailing address
4410 EMERALD GARDEN RD, CONWAY, AR 72034-8269
(845) 219-9816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10089117
TX
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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