Provider Demographics
NPI:1932144649
Name:WHITNEY, PARIS ADELE-KHARBAT (DO)
Entity Type:Individual
Prefix:MRS
First Name:PARIS
Middle Name:ADELE-KHARBAT
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:PARIS
Other - Middle Name:
Other - Last Name:KHARBAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2811 WILSHIRE BLVD. SUITE 610
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403
Mailing Address - Country:US
Mailing Address - Phone:310-453-2335
Mailing Address - Fax:214-393-4645
Practice Address - Street 1:2811 WILSHIRE BLVD. SUITE 610
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403
Practice Address - Country:US
Practice Address - Phone:310-453-2335
Practice Address - Fax:214-393-4645
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP1981207Q00000X
OH012113207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8855126Medicare ID - Type Unspecified