Provider Demographics
NPI:1942689021
Name:SARITA KHATRI MD OB-GYN PC
Entity Type:Organization
Organization Name:SARITA KHATRI MD OB-GYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHATRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-877-8692
Mailing Address - Street 1:204 GUINEA WOODS RD
Mailing Address - Street 2:
Mailing Address - City:OLD WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11568-1524
Mailing Address - Country:US
Mailing Address - Phone:718-877-8692
Mailing Address - Fax:
Practice Address - Street 1:7822 166TH ST
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1235
Practice Address - Country:US
Practice Address - Phone:718-877-8692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty