Basic Information
| Provider Information | |||||||||
| NPI: | 1134328487 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KHATRI | ||||||||
| FirstName: | JYOTI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MBBS | ||||||||
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| Mailing Information | |||||||||
| Address1: | CREIGHTON FAMILY MEDICINE | ||||||||
| Address2: | 601 N 30TH STREET, SUITE 6702 | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681312137 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4022804318 | ||||||||
| FaxNumber: | 4022805165 | ||||||||
| Practice Location | |||||||||
| Address1: | CREIGHTON FAMILY MEDICINE | ||||||||
| Address2: | 601 N 30TH STREET, SUITE 6702 | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681312137 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4022804318 | ||||||||
| FaxNumber: | 4022805165 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2007 | ||||||||
| LastUpdateDate: | 07/17/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 5561 | NE | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.