MEDICARE: TRACY SINHA KHONA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician	ME26358	FL
2	207K00000X	Allergy & Immunology Physician	ME26358	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356367650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY SINHA KHONA MD

Provider Business Mailing Address
First Line	:	4131 UNIVERSITY BLVD S STE 4A
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4322
Country	:	US
Telephone Number	:	904-733-6487
Fax Number	:	904-733-6542

Provider Business Practice Location Address
First Line	:	4131 UNIVERSITY BLVD S STE 4A
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4322
Country	:	US
Telephone Number	:	904-733-6487
Fax Number	:	904-733-6542

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	01/19/2023

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Directions to “ TRACY SINHA KHONA MD” Practice Location

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