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NPI Code Detail

MEDICARE: MONIKA ANEJA KHIANI M.D.

MEDICARE: MONIKA ANEJA KHIANI M.D.
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
12084P0800XPsychiatry Physician62699WI

General Provider Information

NPI Number : 1821319179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIKA ANEJA KHIANI M.D.
Provider Business Mailing Address
First Line : 5071 S WINGSPAN LN
Second Line :
City : GREENFIELD
State : WI
Zip : 53228-3148
Country : US
Telephone Number : 262-354-5413
Fax Number :
Provider Business Practice Location Address
First Line : 11101 W LINCOLN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53227-1133
Country : US
Telephone Number : 414-327-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2010
Last Update Date : 04/20/2015

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