DR. NADIA J KHATI-BOUGHANEM (NPI# 1780601443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780601443 |
| Entity Type | Individual |
| Full Name | DR. NADIA J KHATI-BOUGHANEM |
| Credential | M.D. |
| Practice Address |
21 Crossroads Dr Ste 100 Owings Mills MD 21117-5441 |
| Mailing Address |
10373a Reisterstown Rd Owings Mills MD 21117-3617 |
| Practice Telephone | 4103568186 |
| Practice Fax Number | 4103564180 |
| Mailing Telephone | 4103568186 |
| Mailing Fax Number | 4103564180 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D005775 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | B/C B/S | J062 | 01 |
| DC | B/C B/S | 2849 | 01 |
| MD | B/C B/S | KA80 | 01 |
| Street Address |
21 CROSSROADS DR STE 100 |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-5441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622615 | Laurie Ann Abrams | Radiology | 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 | 2005-07-08 |
| 1225454473 | Life Fitness Physical Therapy LLC | Physical Therapist | 21 Crossroads Dr, Suite 210, Owings Mills, MD 21117-5441 | 2014-03-12 |
| 1104168384 | Andrew I. Pupkin | Dentist | 21 Crossroads Dr, Suite 350, Owings Mills, MD 21117-5441 | 2013-03-26 |
| 1003107970 | Natasha S Annor | Surgery | 21 Crossroads Dr, Suite 21, Owings Mills, MD 21117-5441 | 2011-04-27 |
| 1205062767 | Sinai Hospital of Baltimore, Inc | Internal Medicine | 21 Crossroads Dr, Suite 400, Owings Mills, MD 21117-5441 | 2009-06-10 |
| 1871732503 | Kelly Christina Johnson | Urology | 21 Crossroads Dr, Suite 200, Owings Mills, MD 21117-5441 | 2009-02-19 |
| 1386808822 | Lindsay Mohr Rothermel | Physical Therapist | 21 Crossroads Dr, Suite 200, Owings Mills, MD 21117-5441 | 2008-07-14 |
| 1881852325 | Todd Louis Burstyn | Internal Medicine | 21 Crossroads Dr, Suite 400, Owings Mills, MD 21117-5441 | 2008-05-31 |
| 1487832663 | Ally Gordon | Physician Assistant | 21 Crossroads Dr, Suite 200, Owings Mills, MD 21117-5441 | 2008-02-10 |
| 1295923670 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 21 Crossroads Dr, Suite 220, Owings Mills, MD 21117-5441 | 2007-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962854166 | Michael Louis Sherman | Radiology | 11304 John Carroll Rd, Owings Mills, MD 21117-1658 | 2016-07-12 |
| 1497002596 | Aruna David | Radiology | 10373a Reisterstown Rd, Owings Mills, MD 21117-3617 | 2012-08-07 |
| 1740413533 | Albert Bernard Shackman | Radiology | 10808 Linson Road, Owings Mills, MD 21117 | 2009-08-27 |
| 1154322071 | Craig R Suchin | Radiology | 25 Crossroads Dr Ste 110, Owings Mills, MD 21117-5444 | 2005-08-02 |
| 1184622615 | Laurie Ann Abrams | Radiology | 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 | 2005-07-08 |
| 1124224811 | Brian Mark Monroe | Radiology | 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 | 2007-06-21 |
| 1841203676 | Wendie Anderson Berg | Radiology | 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 | 2006-08-14 |
| 1780622910 | Jules Katz | Radiology | 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 | 2006-06-02 |
| 1417901026 | Meade Warren Flynn | Radiology | 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 | 2006-05-19 |
| 1043271208 | Ronald Jeffrey Stanfield | Radiology | 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 | 2006-03-29 |
| Find all providers in OWINGS MILLS | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
Please comment or provide details below to improve the information on DR. NADIA J KHATI-BOUGHANEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.