Provider Demographics
NPI:1710128327
Name:KHAZANCHI, ARTHI KACHRU (MD)
Entity Type:Individual
Prefix:
First Name:ARTHI
Middle Name:KACHRU
Last Name:KHAZANCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28302-0647
Mailing Address - Country:US
Mailing Address - Phone:910-483-7337
Mailing Address - Fax:910-483-0648
Practice Address - Street 1:1271 OLIVER ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4450
Practice Address - Country:US
Practice Address - Phone:910-323-4281
Practice Address - Fax:910-323-2842
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-01512208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1710128327OtherDOCTORS DIRECT
NC1710128327OtherHEALTHSMART
NC1710128327Medicaid
NC2898036OtherGREATWEST/CIGNA
NC9157534OtherAETNA
NC1710128327OtherHUMANA
NC1355058OtherWELLPATH
NC1355058OtherCOVENTRY OF THE CAROLINAS
NC172AEOtherBCBS OF NC
1710128327OtherHEALTHNET FEDERAL SERVICES
NC246959OtherMEDCOST, LLC
NC3408816OtherUNITED HEALTHCARE
NCFH1101560OtherFIRST CAROLINA CARE
NC4016845OtherCOVENTRY NATIONAL - COVENTRY PPO
NC13260049OtherPHCS-MULTIPLAN