Individual
KAITLIN GEORGEANNE JANNING BOKHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2361
Mailing address
7151 GASTON AVE APT 416, DALLAS, TX 75214-4150
(214) 208-0619
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
T0429
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
04/07/2016
Last updated
12/18/2025
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