Healthcare Provider Details

I. General information

NPI: 1144855750
Provider Name (Legal Business Name): RAJAN KHANNA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2020
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W BUTTERFIELD RD STE 102
ELMHURST IL
60126-5017
US

IV. Provider business mailing address

612 MARIAN SQ
OAK BROOK IL
60523-2571
US

V. Phone/Fax

Practice location:
  • Phone: 630-239-9198
  • Fax:
Mailing address:
  • Phone: 630-956-0280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number036182208
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: