Individual
SHABBIR KHAMBATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MARTIN LUTHER KING DR, MANKATO, MN 56001-6460
(507) 385-6508
Mailing address
101 MARTIN LUTHER KING DR, MANKATO, MN 56001-6460
(507) 385-6508
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-086105
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-316-723-6
ECFMG
—
Enumeration date
11/17/2005
Last updated
04/23/2012
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