Individual
MR. PERVEZ A KHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 DIAMOND HILL RD STE 18, WOONSOCKET, RI 02895-1554
(401) 470-7116
Mailing address
PO BOX 746088, ATLANTA, GA 30374-6088
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD09517
RI
Other
Enumeration date
08/30/2005
Last updated
12/22/2023
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