Provider Demographics
NPI:1003041062
Name:KHALINA, SVETLANA (MD)
Entity Type:Individual
Prefix:DR
First Name:SVETLANA
Middle Name:
Last Name:KHALINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SVETLANA
Other - Middle Name:
Other - Last Name:GUSYNINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2701 US HIGHWAY 271 N
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:75686-4289
Mailing Address - Country:US
Mailing Address - Phone:903-946-5442
Mailing Address - Fax:903-946-5258
Practice Address - Street 1:2701 US HIGHWAY 271 N
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:TX
Practice Address - Zip Code:75686-4289
Practice Address - Country:US
Practice Address - Phone:903-946-5442
Practice Address - Fax:903-946-5258
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07847500207R00000X
TXQ1640207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine