Provider Demographics
NPI:1629769419
Name:KHATANIAR, HIMSIKHAR (MD)
Entity Type:Individual
Prefix:
First Name:HIMSIKHAR
Middle Name:
Last Name:KHATANIAR
Suffix:
Gender:M
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:ALLEGHENY GENERAL HOSPITAL INTERNAL MEDICINE RESIDENCY
Mailing Address - Street 2:320 EAST NORTH AVENUE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ALLEGHENY GENERAL HOSPITAL INTERNAL MEDICINE RESIDENCY
Practice Address - Street 2:320 EAST NORTH AVENUE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212
Practice Address - Country:US
Practice Address - Phone:412-259-4971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2024-01-30
Deactivation Date:2023-12-20
Deactivation Code:
Reactivation Date:2024-01-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program