Ali Dodge-Khatami, MD Valid NPI
Individual provider · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Jackson, MS
- NPI
- 1134462849
- Type
- Individual (Type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Thoracic Surgery (Cardiothoracic Vascular Surgery))
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208G00000X
- License number
- 865-L (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-04-01
- Last updated
- 2014-02-18
Practice location
2500 N State St, Division Of Pediatric Cardiac Surgery
Jackson, MS 39216-4500
(601) 984-4693