Provider Demographics
NPI:1477042588
Name:VICTOR KHA DO PLLC
Entity Type:Organization
Organization Name:VICTOR KHA DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:HERBERT
Authorized Official - Last Name:KHA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:615-834-9781
Mailing Address - Street 1:397 WALLACE RD STE 415
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-8028
Mailing Address - Country:US
Mailing Address - Phone:615-834-9781
Mailing Address - Fax:615-834-0864
Practice Address - Street 1:397 WALLACE RD STE 415
Practice Address - Street 2:
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:615-834-0864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty