Healthcare Provider Details

I. General information

NPI: 1376808188
Provider Name (Legal Business Name): SONYA KHURANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2012
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS GA
30122-3258
US

IV. Provider business mailing address

939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS GA
30122-3258
US

V. Phone/Fax

Practice location:
  • Phone: 770-769-1724
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberCDR.0005069
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberCDR.0005069
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME142232
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number84163
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: