Forefront-Khatkhate Medical Services PC
Psychiatry & Neurology, Psychiatry in Springfield, IL. Organization (NPI-2).
NPI number1164076683
StatusActive
Last updated in NPPESAug 10, 2019
Details
- NPI
- 1164076683
- Entity type
- Organization (NPI-2)
- Legal business name
- Forefront-Khatkhate Medical Services PC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2019
- Last updated
- Aug 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
600 S 2nd St Ste 404Springfield, IL 62704-2542
Phone 510-201-0190
Mailing address
6201 Oak Cyn Ste 150Irvine, CA 92618-5230
Phone 949-552-5232 · Fax 888-972-2903
Authorized official
Sherry Kovacs
Assistant/Provider Enrollment
9495525232
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