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NPI Code Detail

MEDICARE: MS. KIRANJIT KAUR KHALSA MD

MEDICARE: MS. KIRANJIT KAUR KHALSA 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
1207RA0201XAllergy & Immunology (Internal Medicine) Physician56717AZ

General Provider Information

NPI Number : 1720321250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIRANJIT KAUR KHALSA MD
Provider Business Mailing Address
First Line : 15255 N 40TH ST STE 127
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-4638
Country : US
Telephone Number : 602-694-3566
Fax Number : 602-391-2576
Provider Business Practice Location Address
First Line : 15255 N 40TH ST STE 127
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-4638
Country : US
Telephone Number : 602-694-3566
Fax Number : 602-391-2576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2013
Last Update Date : 04/02/2026

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