Abdul Majeed Khatri, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G0745 Issued in TX

Practice address

1209 North Mound St
Nacogdoches, TX 75961-4068

Phone

(936) 560-1066

Fax

(936) 560-9751

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1073595997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 NORTH MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614068",
            "telephone_number": "936-560-1066",
            "fax_number": "936-560-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 NORTH MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614068",
            "telephone_number": "936-560-1066",
            "fax_number": "936-560-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATRI",
        "first_name": "ABDUL",
        "middle_name": "MAJEED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G0745",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "G0745",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00PN70",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120163404",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD TX",
            "identifier": "00PN70",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn M. Lewis, M.D., P.a.
• Erin Elizabeth Keeling
• Lisa Kennedy, RD, LD
• Morgan E Kenney
• Michelle Key, FNP-C
• Munawwer Khurshid, M.D.
• David Khuzistani, PHARM.D.
• Stephen Joseph Kiesel, D.D.S.
• Wendy Kay Killam, LPC
• Kelly Killfoil

• Specialist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.