Provider Demographics
NPI:1396003356
Name:KHA, VICTOR HERBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:HERBERT
Last Name:KHA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:
Practice Address - Street 1:397 WALLACE RD
Practice Address - Street 2:STE 415
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-8028
Practice Address - Country:US
Practice Address - Phone:615-834-9781
Practice Address - Fax:616-834-0864
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK5762207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease