Kimat G. Khatak, MD, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

KIMAT G. KHATAK, MD, PC

Practice address

10 Hospital Dr.
Suite 311
Holyoke, MA 01040-6603

Phone

(413) 532-2584

Fax

(413) 535-1123

NPI assigned

Nov 1, 2007

Last updated

May 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimat G Khatak, MD, PC

Title

MD

Phone

(413) 532-2584

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1083893523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "address_2": "SUITE 311",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406603",
            "telephone_number": "413-532-2584",
            "fax_number": "413-535-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR.",
            "address_2": "SUITE 311",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406603",
            "telephone_number": "413-532-2584",
            "fax_number": "413-535-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMAT G. KHATAK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "KHATAK",
        "authorized_official_first_name": "KIMAT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "413-532-2584",
        "authorized_official_credential": "MD, PC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9719652",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuri Khibkin
• Daniel Kieras
• Fred H. Kim, M.D.
• Seon Gu Kim, PHARM.D
• Sunny Kim, OTR/L
• Mary Lily Kimatu, FNP
• Gregory William King, MA
• Laquita Kimberly King, M.D.
• Patricia L Kinsley, RN
• Caroline Kirk

• Cardiovascular Disease Physician in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Cardiovascular Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.