Provider Demographics
NPI:1427384767
Name:PARVEZ KHATRI MD PC
Entity Type:Organization
Organization Name:PARVEZ KHATRI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PARVEZ
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:KHATRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-746-4361
Mailing Address - Street 1:PO BOX 2181
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-0181
Mailing Address - Country:US
Mailing Address - Phone:202-449-9634
Mailing Address - Fax:202-449-9633
Practice Address - Street 1:1160 VARNUM ST NE
Practice Address - Street 2:SUITE #302 NE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2107
Practice Address - Country:US
Practice Address - Phone:202-449-9934
Practice Address - Fax:202-449-9633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-21
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD31956207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty