Basic Information
Provider Information
NPI: 1689930786
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KHAMSI
FirstName: NAIMA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7718 WOOD HOLLOW DR STE 103
Address2:  
City: AUSTIN
State: TX
PostalCode: 787311601
CountryCode: US
TelephoneNumber: 5122766701
FaxNumber:  
Practice Location
Address1: 631 N RESLER DR # A-102
Address2:  
City: EL PASO
State: TX
PostalCode: 799122382
CountryCode: US
TelephoneNumber: 9152655900
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/03/2012
LastUpdateDate: 02/17/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/17/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XR0598TXY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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