Active NPI
Shabbir F Khambatti, MD
- Internal Medicine Physician
- Alexandria, LA
National Provider Identifier
1760585046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA 34418
- Practice address
- Veteran Adm Medical Center
Medical Service
Alexandria, LA 71306 - Phone
- (318) 473-0010
- NPI assigned
- Sep 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA 34418 | NJ | Primary |
Addresses
Primary practice location
Veteran Adm Medical Center
Medical Service
Alexandria, LA 71306
Mailing address
6724 Tennyson Oaks LN
Alexandria, LA 71301-2768
Phone (318) 561-0457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 34418 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760585046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6724 TENNYSON OAKS LN",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713012768",
"telephone_number": "318-561-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VETERAN ADM MEDICAL CENTER",
"address_2": "MEDICAL SERVICE",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71306",
"telephone_number": "318-473-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAMBATTI",
"first_name": "SHABBIR",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA 34418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.