Provider Demographics
NPI:1457194086
Name:KHATRI, HINA (PA-C)
Entity type:Individual
Prefix:
First Name:HINA
Middle Name:
Last Name:KHATRI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 COACHMANS LANDING CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-7578
Mailing Address - Country:US
Mailing Address - Phone:804-512-6772
Mailing Address - Fax:
Practice Address - Street 1:100 BALDWIN BLVD
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2375
Practice Address - Country:US
Practice Address - Phone:540-887-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant