Provider Demographics
NPI:1831285246
Name:MUNIRA A KHAMBATI M.D., P.A.
Entity Type:Organization
Organization Name:MUNIRA A KHAMBATI M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUNIRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHAMBATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-440-8989
Mailing Address - Street 1:4007 JAMES CASEY ST
Mailing Address - Street 2:SUITE D-240
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-3369
Mailing Address - Country:US
Mailing Address - Phone:512-440-8989
Mailing Address - Fax:512-440-0299
Practice Address - Street 1:4007 JAMES CASEY ST
Practice Address - Street 2:SUITE D-240
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3369
Practice Address - Country:US
Practice Address - Phone:512-440-8989
Practice Address - Fax:512-440-0299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5407207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty