Individual
TAIF KHATTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 SHERIDAN SQ STE 200, KINGSPORT, TN 37660-7435
(423) 246-7931
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
74049
TN
208M00000X
Hospitalist Physician
Primary
74049
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679208078
—
VA
05
—
Q076331
—
TN
Enumeration date
07/19/2022
Last updated
02/04/2026
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