Provider Demographics
NPI:1891938783
Name:KHATRI, PINKY (AUD)
Entity Type:Individual
Prefix:
First Name:PINKY
Middle Name:
Last Name:KHATRI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:PINKY
Other - Middle Name:
Other - Last Name:RAJU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14102 SULLYFIELD CIR STE 350C
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-1672
Mailing Address - Country:US
Mailing Address - Phone:703-988-6767
Mailing Address - Fax:703-988-6768
Practice Address - Street 1:6845 ELM ST
Practice Address - Street 2:SUITE 303
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-6007
Practice Address - Country:US
Practice Address - Phone:703-448-0005
Practice Address - Fax:703-448-0808
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA22101001462231H00000X
237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist