Provider Demographics
NPI:1023002284
Name:KHIMANI, SULTANA ALAMIN (MD)
Entity Type:Individual
Prefix:
First Name:SULTANA
Middle Name:ALAMIN
Last Name:KHIMANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 SARATOGA BLVD
Mailing Address - Street 2:SUITE 570
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4103
Mailing Address - Country:US
Mailing Address - Phone:361-985-8100
Mailing Address - Fax:361-985-8131
Practice Address - Street 1:5920 SARATOGA BLVD
Practice Address - Street 2:SUITE 570
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4103
Practice Address - Country:US
Practice Address - Phone:361-985-8100
Practice Address - Fax:361-985-8131
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1183207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173312301Medicaid
TX8S3150OtherBCBS
I31309Medicare UPIN
TX8S3150OtherBCBS