Provider Demographics
NPI:1598727869
Name:KHATRI, GAJENDRA KUMAR (MBBS MD)
Entity Type:Individual
Prefix:DR
First Name:GAJENDRA
Middle Name:KUMAR
Last Name:KHATRI
Suffix:
Gender:M
Credentials:MBBS MD
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Mailing Address - Street 1:150 W THOMPSON LN
Mailing Address - Street 2:APT I-103
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1288
Mailing Address - Country:US
Mailing Address - Phone:615-217-3995
Mailing Address - Fax:
Practice Address - Street 1:3400 LEBANON RD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1237
Practice Address - Country:US
Practice Address - Phone:615-867-6111
Practice Address - Fax:615-867-5766
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00021323207R00000X, 207RI0200X
ALMD0021323207RI0200X
NC2021-02918207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine