Individual
DR. NADIA J KHATI-BOUGHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-5154
Mailing address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-5154
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD32533
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2849
B/C B/S
DC
01
—
J062
B/C B/S
MD
01
—
KA80
B/C B/S
MD
Enumeration date
07/17/2006
Last updated
04/20/2023
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