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KHAULA KHATLANI M.D.

Individual Provider (NPI-1) Active

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine

Provider Information

NPI Number
1184930455
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
975 FARMINGTON AVE STE 1, BRISTOL, CT, 060103964
Phone
(860) 589-0114
Fax
(860) 589-1936

Specialties & Taxonomies

Surgery License: MI #4301096855
Student in an Organized Health Care Education/Training Program License: CT #57453
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine Primary License: CT #66471

All Addresses

MAILING

975 FARMINGTON AVE STE 1

BRISTOL, CT, 060103964

(860) 589-0114

LOCATION

975 FARMINGTON AVE STE 1

BRISTOL, CT, 060103964

(860) 589-0114